I am the owner, or the designated representative for the owner, of the above named pet. I authorize Southport Veterinary Center to administer anesthetics and /or tranquilizers to perform the above listed procedures, including appropriate medications, to my pet. I understand there are potential risks when using anesthetics and /or performing surgery and that no results can be guaranteed. The appropriate pre-anesthetic blood work will be performed on your pet before anesthesia is administered. If I cannot be reached at the numbers listed above, I authorize the veterinarian to do what, in her judgment, is in the best interest of my pet. I understand that there is not an attendant on duty after business hours.
*I agree to pay in full all fees for services performed at the time they are rendered.