I verify that my pet has had a Rabies vaccination and Upper Respiratory/Distemper vaccination within the last 1-3 years

In the unlikely event of Cardiac Arrest, I authorize the following:

In the event that I can not be contacted during my pet's procedure, I authorize the Doctor to perform extractions that are deemed necessary and will only be performed when the Doctor determines that the tooth can not be saved.

Oravet can be applied after the teeth are cleaned to reduce the build-up of new plaque. This is especially helpful for small breeds and dogs prone to rapid tartar accumulation. Follow up home care, once a week, is important to continue the benefit of this treatment

It is CRITICAL that we have contact information so that you can be reached throughout the day in case of Emergency or the Doctor needing to discuss your pet's condition. Preferred Method of Communication Today:

I authorize a Dental Treatment (General anesthesia/ Dental Radiographs/ Dental Cleaning) to be performed on my pet in my absence. I further authorize any other procedures that I have indicated in this document. I have been advised as to the nature of the procedure(s) and the risks involved. I realize that results cannot be guaranteed. I agree to pay for all services rendered at the time of my pet's discharge regardless of outcome.