Consent Form

Save time during your appointment. Complete your surgery consent form online from any device at any time before your visit.

Surgery Consent Form

Please fill out this form as completely and accurately as possible so we can
get to know you and your pets before your visit.

Phone where you can be reached (in case of emergency):

Please read the following carefully

Cole Veterinary Clinic’s mission is to provide quality, personalized care for your pet. With regards to anesthetic and surgical procedures, this means we treat every patient individually, and will make every possible effort to minimize risk during any anesthetic procedure. However, risk is still inherent with anesthesia, even in young, healthy patients; although rare, complications and death can sometime occur.

Please list any medications or supplements your pet is taking, or has taken in the past two weeks and the last time they received the medication:

Medication, Dosage, and Frequency

Time Last Dose was Given