Surgery Release Form
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Please fill out the surgery release form.

We are pleased to host a WSU veterinary student this month. Any interaction this student has with patients is under strict supervision of the attending doctors. If you would prefer the student not be involved with your pet, please check this option:
Yes No
Yes No
Yes No
I understand there are risks involved with any anesthesia/procedure, including loss of life, and i hereby give my permission to anesthetize and/or treat my pet.
If upon examination we find your pet has fleas, we will treat your pet with Capstar to avoid contaminating the hospital. Additional cost: $13.30
Authorization for Spay and Neuter: preanesthetic bloodwork- $75.63
Yes No
Yes No
I understand that any procedure/surgery will be done to the best of the abilities of the professional staff at Burien Veterinary Hospital. there are no guarantees or warranties regarding the results or cure. I certify that I have read and understand the above Authorization of Medical/Surgical Treatment and assume financial responsibility for all charges incurred.

BURIEN VETERINARY HOSPITAL

At Burien Veterinary Hospital, we serve pets and their guardians in Burien, White Center, Tukwila, Des Moines and the surrounding areas.
Phone
(206) 242-1290

VISIT US

Location
14628 Ambaum Blvd SW, Seattle, WA 98166
Hours
Monday - Friday : 9am - 6pm
Saturday : 9am - 12pm
Sunday : Closed

LOCAL RESCUES

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HOSPITAL AFFILIATIONS

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