Surgery/Anesthesia Release Form

I, the Owner or Authorized agent of the above pet, hereby give Buffington Veterinary Hospital and/or it's agents, permission for anesthesia and the following procedure(s). I understand that during the procedure unforeseen conditions may be revealed that necessitates and extension of the procedure(s). I consent to authorize the performance of such techniques as necessary in the veterinarinarian's professional judgement. I do hereby forever release Buffington Veterinary Hospital and/or it's agents from any and all liability arising from said procedure(s). All patients receive a physical exam prior to anesthesia.