Veterinary Consent Form

This is a 100% free and printable template for veterinary practices. This form is used to obtain the owner's permission for veterinary procedures and to acknowledge the associated risks, responsibilities, and payment obligations. Print it or download it as a PDF.

Veterinary Clinic

Consent Form

Owner Name:
Date:
Patient Name:
Breed/Species:
Weight:
Age:
Sex:

Description of Procedure(s) to be Performed:

Expected Duration:

Possible Complications:

Informed Consent and Liability Waiver:

☐I understand there are inherent risks associated with all medical/surgical procedures and that the veterinary staff will use all reasonable precautions against injury, escape, or death of my animal. In the absence of gross negligence, I release the clinic and its staff from any and all liability.
☐I authorize the use of appropriate anesthesia and pain relief medication before, during, or after the procedure, as deemed necessary by the veterinarian.
☐I understand that if a condition is discovered requiring additional treatment (such as hernia repair, tooth extraction, or IV fluids), the attending veterinarian may perform such procedures at their discretion.
☐I agree to provide complete payment upon discharge of my animal and understand that, if unpaid, the clinic may take collection actions for which I am responsible for any related costs.
☐I understand that neglecting to pick up my animal within 5 days of written notification may result in abandonment. The clinic may then make decisions about its disposition or care without relieving my financial obligations.
Owner's Signature:
Date:

Download or print this template under the Customize Template section.

This form outlines the proposed treatments or procedures, confirms the owner's informed consent, and acknowledges the associated risks. It serves as a legal agreement between the veterinarian and the pet owner.
It helps ensure that both the pet owner and the veterinary team clearly understand the nature of the procedure, potential risks, costs, and responsibilities. It also offers legal protection for all parties involved.
The pet’s owner or an authorized agent of the owner with legal authority to consent should review and sign the form. The attending veterinarian or staff may also sign for confirmation.
It is typically completed before any procedure involving sedation, anesthesia, or potential risk to the pet’s health to ensure the owner is fully informed and agrees to proceed.

Other Forms

Customizable veterinary forms for your clinic. 100% free, printable and downloadable as PDF.

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Veterinary Anesthesia Consent Form

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Veterinary Euthanasia Consent Form

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Veterinary Physical Exam Form

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