Anesthesia Permission Form - Jackson Veterinary Clinic 2026

1. Click ‘Get Form’ to open the Anesthesia Permission Form in the editor.
2. Begin by entering your name and your pet's name in the designated fields at the top of the form. This ensures that all information is correctly attributed.
3. Review the section on Pre-Anesthetic Blood Work. Check the appropriate box based on whether you wish to proceed with the recommended blood work for healthy or senior/sick pets.
4. In the Pain Medication section, indicate if you would like your pet to receive a Butorphanol injection after surgery by checking the corresponding box.
5. For Laser Therapy, select whether you want this service by checking the appropriate box. This option can enhance your pet's recovery post-surgery.
6. Ensure that your pet’s vaccinations are current. If they need updating, check the box to authorize this action.
7. Finally, read through the consent statement carefully. Once you understand and agree, sign and provide your phone number at the bottom of the form.

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