*All life-saving procedures will be performed regardless of consent (unless stated below); contact will be made int he event of an emergency.
Pre-Anesthetic Bloodwork: We screen for hidden problems that can affect your pet’s recovery from anesthesia and their ability to heal. For a sedated and/or surgical procedure, we REQUIRE pre-anesthetic blood work.
Disclosure Information: Any animal admitted for a procedure will stay for the majority of the day up until 7:00pm; I understand I will be contacted with a time for discharge. The nature of the procedure(s) has been explained to me fully and no guarantee has been made as to the results or cure. I understand that there may be a risk involved in these procedures and my questions/concerns have been addressed by the AMCL staff to my satisfaction. I authorize the use of appropriate anesthetics and medications necessary to perform these procedures. Unforeseen conditions may occur and that if this happens, the AMCL staff will contact me immediately. If I cannot be reached, I authorize the AMCL staff to take the steps necessary to help ensure the safe care of my pet. I hold Animal Medical Centers of Loudoun harmless in the event of an anesthetic reaction, resulting in injury or death, in my pet. I also understand that additional steps may lead to additional charges not included on the estimate.
PAYMENT POLICY/FINANCIAL RESPONSIBILITY AGREEMENT
I have received an estimate for the procedure. (If you have not, please ask for one now!) Payment is required at the time of the visit. A deposit is required for extensive medical or surgical procedures. I understand that if the balance is not paid in a timely fashion, I will be responsible not only for the balance due, but any collection and/or reasonable attorney fees that are incurred in the attempt to collect this debt.