Admission Form: Oncology

I, the undersigned, take responsibility for the patient above-named and hereby authorize Memphis Veterinary Specialists, LLC to administer such treatment as is necessary and is considered therapeutically and/or diagnostically necessary in the patient’s ongoing treatment. I understand that during the performance of the procedures or treatments that unforeseen conditions may be revealed that necessitate additions or changes in the scheduled procedures or treatment. Therefore, I hereby consent to and authorize the performance of such procedures or treatments as are necessary and desirable in the exercise of the veterinarian’s professional judgment. I also authorize the use of appropriate anesthetics and other medications. I understand that hospital support staff will be employed as deemed necessary by the veterinarian. I have been advised as to the nature of the treatments and the risks involved. I realize that there are risks associated with anesthesia, and risks associated with medical procedures and treatments, including the administration of chemotherapy agents. I realize that the desired effects may not be achieved and that results cannot be guaranteed. I have read and understand this authorization and consent.

By submitting this form, I agree to the above.