Consent Form

Complete your consent form online! Pet owners please click HERE to submit a request for more information from Dr. Frey.

SoftSurg is here to help!

If you need immediate assistance, or if the case is an emergency that needs attention within 12-24 hours, please send a text message directly to Dr. Frey at 858-333-2687! Dr. Frey will make every attempt to respond to submissions sent via this form within 48-72 hours.

Before your pet’s upcoming procedure, be sure to complete the consent form below.

If you are a pet owner seeking additional information, please click HERE to send a message to Dr. Frey!

Todays Date *

Client's Name (pet owner or party responsible) *

First

Last

Patient's Name *

Contact Number* *

Email Address *

Referring Hospital

Referring Veterinarian (DVM)

First

Last

I, as the owner or party responsible for the patient listed above, hereby authorize the doctors and staff of SoftSurg, Incorporated to perform the following procedure(s): *

I understand that anesthesia will need to be administered to accomplish the surgical procedure(s). The Attending Veterinarian and referring hospital will be responsible for monitoring and recovering the Patient during this anesthetic event. *

I have read and understand

It has been explained to me that conditions may arise during this procedure(s) whereby a differing or additional procedure(s) may need to be performed to prioritize the Patient's safety and well-being. I understand that efforts will be made to contact me prior to such procedure(s) being performed, but there may be instances where it is in the best interest of the Patient to proceed without delay and/or Client confirmation. *

I have read and understand

I have been advised as to the nature of the procedure(s) and the inherent risks involved. I understand that complications, including but not limited to infection, swelling, edema, hemorrhage, implant failure, cardiac arrest and death, could result. I acknowledge that no guarantee can be or has been made as to any long- or short-term result or cure. While uncommon, some complications may require additional treatment or surgery, at an additional cost. *

I have read and understand

I have been advised that strict adherence to the post-surgical care plan outlined by SoftSurg, Incorporated and/or my Referring Veterinarian is crucial to minimizing potential complications and/or adverse side-effects. These include but are not limited to restricting exercise, abstaining from bathing or swimming, and wearing an e-collar. I understand that the follow-up care will primarily be performed by my Referring Veterinarian. *

I have read and understand

A cancellation fee of $300 will be charged if a scheduled procedure is cancelled or rescheduled within 36 hours (not to include Saturday or Sunday as SoftSurg is closed on weekends) of the scheduled surgery date. *

I have read and acknowledge the cancellation fee

By signing here I authorize and understand by written consent the above information. *

I authorize and consent to surgery on my pet

Signature *

Clear Signature

Message

Consent Form

Complete your consent form online! Pet owners please click HERE to submit a request for more information from Dr. Frey.

SoftSurg is here to help!

How Can We Help You and Your Pet?

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