Spay/Neuter Surgical Admission Form

To ensure the best care possible, please fill out this form completely.

Dogwood Park Animal Clinic uses qualified staffing and approved materials for all procedures performed. It is important for you to understand that the risk of injury or death, although extremely low, is always present just as it is for humans who undergo surgery. Carefully read and understand the following before signing your name.

I, acting as owner or agent of the pet named above, hereby request and authorize Dogwood Park Animal Clinic, through whomever veterinarians they may designate, to perform an operation for sexual sterilization of the animal named on the above portion of this form. Please initial below that you have read and understood the following. If you do not understand or have questions please do not hesitate to ask a staff member.

Clear Signature