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Click ‘Get Form’ to open the ZAC Dog Pre-Op Consent Form in the editor.
Begin by entering the date at the top of the form. Next, fill in your name as the owner and your pet's name in the designated fields.
Carefully read through each section regarding pre-operative tests and check 'Yes' or 'No' for each recommendation, including blood screening, EKG, and thoracic X-ray.
Indicate whether your pet is current on vaccinations and on heartworm preventative by checking the appropriate boxes.
If applicable, list any medications your pet is currently taking in the provided space. Decide if you would like additional services such as pain medication or microchipping by checking 'Yes' or 'No'.
Finally, review all information for accuracy, sign and date at the bottom of the form, and provide a contact number where you can be reached today.
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Additionally, the consent document must be signed and dated by the patient (or the patients legal guardian or representative). Many consent forms also require the healthcare practitioners signature. Consent forms should include statements to be signed by the patient and the healthcare practitioner.
Who is responsible for signing informed consent?
The disclosure of any material information and obtaining informed consent shall be the responsibility of the a physician. (b) Informed consent must include a verbal explanation by a physician of the clients right to refuse or accept medical treatment.
How do you write a consent form for surgery?
1) I have read and understood the information contained here; 2) I have been informed about the Procedure and the potential risks, benefits, alternatives and the risk of those alternatives; 3) I authorize and consent to the performance of the Procedure as described; and 4) I authorize and direct that any Specimen
Do consent forms need to be signed?
When a written consent or parental permission form is used that embodies some or all of the elements of informed consent required by the regulations at 45 CFR 46.116, the regulations only require that the informed consent or parental permission document be signed by the subjects or the subjects legally authorized
Who approves patient consent forms?
After institutional review board (IRB) or independent ethics committee approval is achieved, obtaining informed consent from each human subject prior to his/her participation in clinical trial is mandatory [5].
People also ask
What is a pre op for dogs?
A pre-anaesthetic blood screen is recommended to assess your pets general health and suitability to undergo general anaesthesia. The blood test results will allow the vet to assess whether any adjustments need to be made to your pets anaesthetic protocol, such as the use of supportive intravenous fluid therapy.
Who can legally witness a surgical consent?
The United States Food and Drug Administration in its guidelines for informed consent recommends that an impartial third party, not otherwise connected with the clinical investigation (for example, clinical staff not involved in the research or a patient advocate), serves as the witness [4].
What is a vet consent form?
The purpose of the consent form is to record the clients agreement to treatment based on knowledge of what is involved and the likely consequences. The client may be the owner of the animal, someone acting with the authority of the owner, or someone with statutory or other appropriate authority.
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