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Online Forms

Canine Surgical Release Form

Save time by filling out forms online! Metz Petz has your canine surgical release form ready to fill out at your convenience.

We proudly serve the pets of Ada, OH, Lima, OH, and beyond.

Our compassionate veterinary team is dedicated to providing the highest quality of care possible. We are proud to be your partner in pet health care, and we look forward to meeting all of your veterinary needs.

Canine Surgical Release Form

Your pet is being admitted for surgery at Metz Petz Veterinary Clinic. To minimize the likelihood of complications during anesthesia, we recommend that you pet receive a pre-anesthetic blood screen to detect potential health problems. All patients are required to have a Prep Panel completed prior to surgery. All patients are also required to go home with some sort of pain medication, this is included in your estimate.

* If your pet has fleas (s)he will be treated at an additional cost to you.


I authorize the doctor(s) at Metz Petz Veterinary Clinic to perform the above anesthetic and surgical procedure(s) described above. I understand that some risks exist with anesthesia and/or surgery and I am encouraged to discuss and concerns that I may have. I further understand that unforeseen conditions may require an extension of the planned procedure(s) and I authorize the performance of additional treatment.


While I understand that all procedures will be performed to the best of the abilities of the staff at Metz Petz Veterinary Clinic, I understand that there is no guarantee or warranty regarding the results that may be achieved.


I agree to assume full financial responsibility for all charges incurred in the care of this animal. I also understand that Metz PetzVeterinary Clinic does not have a payment policy and that all charges will be paid in full at the time of release. I have read and full understand the terms and conditions set forth above.

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