Online Form

Consent Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.

You may use the PDF version by clicking the DOWNLOAD FORM button and completing the printed form by hand. Please bring the completed PDF form for your pet’s first appointment.


I authorize the veterinarians and appointed technical staff of Dr. Pal's Small Animal Practice to administer medications, anesthetics, and to perform the above listed procedures on my pet. I understand the risks of anesthesia, dental, or surgical procedures and I acknowledge that no assurances or guarantees have been made to me as the result of today's anesthesia, and/or designated procedures.


Like you, our greatest concern is the well being of your pet. Although a complete physical examination will be performed prior to anesthesia, we require a pre-anesthetic blood profile screen for all pets to determine important information on your pet's internal health. As your physician would require of you prior to anesthesia, this will allow us to more properly evaluate your pet's basic condition, and to help us determine if we need to take additional precautionary measures with your pet. It also may indicate (even on a young animal) that we should avoid the procedure altogether until a discovered problem is corrected. State of the art equipment enables us to perform the pre-anesthetic blood profile within the hospital and we are committed to making this technology available to your pet.


It is required that pain relief medication for all surgical patients be provided.