GROOVY VETCARE CLINIC
In this case, representing as the owner or authorized agent of the owner with full ownership right (further mentioned as a patient’s owner) of the pet described below:
I herewith declare that I fully agree and grant the Groovy Vetcare Clinic to provide dental cleaning and/or comprehensive oral health assessment under general anesthesia procedures for my pet (further mentioned as a patient). I understand that although all procedure(s) will be performed to the best of the abilities of the professional staff, no guarantee or warranty can be made regarding the results or cure, so I will not hold Groovy Vetcare Clinic, the veterinarians, or any staff liable if any undesirable circumstances occur. I have had opportunities to discuss with a veterinarian until I obtained satisfying explanations regarding indications, procedures, goals, risks, complications, prognosis, alternatives, and other circumstances related to the treatment for the patient, which I fully understand and agree with, such as:
I understand and accept that the information I obtained before the anesthetic procedure was performed on the patient regarding the plans mentioned above could evolve and also differ from the final results after. It correlates to problems that may not be revealed until a thorough examination and diagnosis under general anesthesia is performed. I declare further that I am willing to bear all costs incurred to any estimated fees already identified and agreed upon by me, as well as other expenses that arise from undesirable circumstances from the risk of the procedures. And I will obey the Groovy Vetcare Clinic’s payment policies.
GROOVY VETCARE CLINIC’S PAYMENTS POLICIES