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  • As the owner or agent of the owner of the above animal, I hereby give my consent to Norris Animal Hospital to perform the following procedures:
  • Dental Extractions:

  • I understand that during routine dental cleanings, it is sometimes necessary to perform routine/surgical extractions. I also understand that there is an additional fee for additional extractions(s).
  • Laboratory Tests Waiver

  • If your pet is to be anesthetized, rest assure that advances in anesthesia and surgery have made procedures relatively safe with a low rate of complications. Nevertheless, occasional problems can arise due to pre-existing conditions not evident during routine preanesthesic examinations.

    To avoid these problems, we highly recommend that all surgical patients be screened before anesthesia by means of the following laboratory tests.

    Please select an option for each of the following:
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