I have been advised to the nature of this procedure to be performed and the risks involved. I also understand that there is always a risk associated with any anesthetic episode, even in apparently healthy animals and have discussed my concerns with the veterinarian. I understand my pet will have an IV catheter and be kept on IV fluids while under anesthesia.

If your pet is older than 7 years, we require a geriatric profile (complete blood count, chemistry panel, urinalysis, thyroid level, and heartworm test) In the event that an abnormality is detected on the bloodwork; the doctor will notify you before performing the procedure.

All animals in hospital are required to be up to date on vaccines (14 days before scheduled procedure), free of parasites, fleas, and ticks. I understand if my animal is not up to date they will be vaccinated and medicated with passed by judgement of the veterinarian and I assume all financial responsibility for said treatments. In the event this account is referred to an outside agency, credit reporting bureau, or attorney for collection, I agree to pay all attorney fees, collection costs, court costs, and/or any other expenses incurred during collection. I hereby state that I have read this release, that I understand the agreement and that I may request a copy of this agreement. I have read and understand all KAC, LLC policies and agree to terms as described above for boarding, day boarding, grooming and drop off patients.

I hereby consent and authorize Knoxville Animal Clinic, LLC to administer such treatment, diagnostics, procedures, and surgery as they deem necessary for my animal. I understand that before surgery or anesthesia, it is a sound medical procedure to perform a pre-anesthetic blood screen on the animal for the purpose of discovering subclinical infections, underlying disease, anemia, or other medical abnormality to detect risk factors for procedures requiring anesthesia and/or surgery. I assume full financial responsibility for the animal(s) and I hereby certify I am the owner/agent for the above named pet(s). Knoxville Animal Clinic, LLC veterinarians, or staff members, will not be held liable in conjunction with procedures performed on my animal(s). The undersigned affirms the information provided above is correct and agrees to all conditions stated in this paragraph.

I the undersigned do certify that I am the owner, or authorized agent of the owner of this animal(s); that I hereby authorize Knoxville Animal Clinic, LLC, their agents and representatives, to perform medical or surgical procedures, physical examinations, anesthesia, x-ray, administer drugs, or other such treatment(s) as the veterinarian deems necessary while day boarding, boarding, and grooming patients. I agree to accept responsibility for the payment of all services rendered. I authorize Knoxville Animal Clinic, LLC to release any and all of my pet’s medical records in good faith without additional consent.