The doctor, groomer and/or myself, the client, has determined that my pet requires sedation for the above procedure. Any use of sedation or anesthesia carries inherent risks. The veterinary staff of Pets R Us Commerce City Animal Hospital will take utmost care to avoid any complications. I understand that animals that require frequent sedation for procedures (such as grooming, bathing, etc.) may be required to have periodic blood screenings to confirm kidney and liver health. I understand the risks of sedation and will not hold Pets R Us Commerce City Animal Hospital responsible for unforeseen complications. I authorize Pets R Us Commerce City Animal Hospital and its veterinarians to perform sedation on my pet with the knowledge that I assume full financial responsibility for this animal and understand that additional charges may be incurred in the event of any complications.

My signature below authorizes Pets R Us Commerce City Animal Hospital to perform sedation on my pet for the reason(s) indicated above. I understand that any additional services I may have selected will also be performed, if my pet’s health will permit, at the additional costs listed above. I have no questions or concerns at this time that have not been answered by Pets R Us Commerce City Animal Hospital and its staff.