Patient Drop Off Form

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  • I herby authorize the veterinarians at Brookstone Animal Hospital to examine, prescribe and treat my pet as set forth above or as they deem necessary. I agree to assume full responsibility for treatment expenses involved and to pay the fees for all services rendered at the time my pet is discharged from the hospital.
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  • Consent for CPR
    I understand that my above pet is undergoing general anesthesia. I have been informed that during this advanced treatment, life-threatening complications such as respiratory and/or cardiac arrest may occur requiring cardiopulmonary resuscitation (CPR). If my pet stops breathing or its heart stops beating, I realize even the most successful CPR may not restore him/her to good mental and physical health. I am aware that the practice of veterinary medicine is not an exact science and thus there are no guarantees for successful treatment. In spite of the limited likelihood of success from CPR treatment, by checking one of the following choices, I hereby request:
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