• Date Format: MM slash DD slash YYYY
  • I am the legal guardian of agent of the above mentioned animal. I understand that all procedures, surgeries, sedation and anesthesias involve some minimal risk to my pet. For Pet's Sake Animal Hospital is dedicated to the highest level of care during such procedures. However, in the event that complications develop, Pet's Sake Animal Hospital, its agents, staff and employees will not be help liable for responsible in any manner for complications occurring during such procedures or services. I acknowledge no guarantee or assurance has been made as to the results that may be obtained. I hereby assume all risk(s) associated with the performance of the above procedure(s).