Surgery/Anesthetic Release

Our team is here to help every step of the way.


Surgery/Anesthetic Release Form

Please fill out the surgery/anesthetic release form below, and a member of our team will get back to you shortly. If you have any questions, please feel free to contact us. Please Note: Any fields with * are required.

Please be advised that we may need to reach you by phone while your pet is sedated or under anesthesia. We strongly urge you to be readily available in order to address unforeseen issues in the timeliest manner. If we are unable to reach you, our ability to complete your pet's procedure the same day may be compromised. For this reason, we will not text while your pet is in their procedure and will reserve text messages for communication prior to getting started or once recovered.

To minimize the risks associated with anesthesia and sedation, preliminary lab work is patient dependent prior to anesthesia or sedation. This preliminary information allows us to create the safest drug protocol tailored to your individual pets' needs. If your pet has not had lab work, we may still obtain samples the morning of their procedure. Associated costs, if applicable, will be added to your treatment plan. Please note that lab results may indicate a need for additional testing. Same day options are as follows:

Deciduous (Baby) Teeth Removal:

Below, you will find a Medical Intervention Release form. If you have filled this out recently, you may skip this part. If you have not filled this out before or would like to make updates, please do so at this time. This is a boarding requirement. Lastly, if you have multiple pets and the same applies to all, please list all their names. If the same answers do not apply to all, please specify in your comments.

Medical Intervention Release

It is our pleasure to spend time with your loved ones while you are away from home and thank you for trusting us to care for your family.

If medical intervention becomes necessary during your pets’ stay with us, every attempt will be made to contact you at the emergency number you have provided.


However, if we cannot reach you, we respectfully request that you provide us with the following instructions:

If you have entered yes, you agree to be financially responsible for all treatment and services they perform. SVEC is not affiliated with Case Veterinary Hospital, and Case Veterinary Hospital is not responsible for payment.

*CPR authorization includes associated fees.

I authorize the performance of diagnostic procedures and use of anesthetic/ sedation agents as deemed necessary for my pet. I understand that preliminary lab work does not eliminate the risk of surgical, anesthetic, sedation complications, or even death, which may be currently unforeseeable. I acknowledge that the procedures have been explained to me and I fully understand the risks associated with anesthesia, sedation, and surgery. In the event of an emergency, I authorize Case Veterinary Hospital to provide lifesaving care.