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ASK A VET™
Sedation Consent Form
By Dr Duncan Houston
A free fillable sedation-only consent for imaging, wound care, grooming and minor procedures, with a conversion-to-anaesthesia election built in. Sign on screen, then print or download as a PDF. Nothing you enter is stored or sent anywhere.
Clinic & Visit Details
Client's Details
Patient's Details
Sedation Details & Elections
If sedation is not sufficient, I authorise conversion to general anaesthesia where the veterinarian judges it safer or necessary to complete the procedure
IV catheter placement (recommended: immediate venous access if needed)
Consent
I consent to the administration of sedation to the animal described above for the procedure listed, and to conversion to general anaesthesia in line with my election above. I understand that sedation carries risks, including adverse drug reactions, regurgitation and aspiration and, rarely, death, even in apparently healthy animals, and that my animal will be monitored while sedated. I confirm that the history I have provided, including current medications, is accurate, and that any fasting instructions given to me have been followed. I acknowledge that the estimate above is an estimate and not a fixed quote and that all fees are payable at discharge. I confirm that I am over the age of 18 years and am the owner, or an authorised agent of the owner, of this animal.
After sedation: your animal may be drowsy or wobbly for 12 to 24 hours. Keep them indoors, away from stairs, pools and other animals, offer only small amounts of food and water as directed, and contact the clinic if you are concerned at any point.
Owner / agent signature
Staff signature
Built by Dr Duncan Houston for ASK A VET™ · askavet.com
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Nothing typed into this form is sent to or stored by askavet.com. All data stays in your browser and leaves only in the PDF or printout you create. This template is general in nature. Check the consent and record-keeping requirements of your local veterinary regulator, and adapt the wording to your practice with your own adviser where needed.