By booking an appointment and paying the below fee ($20) to Heartsong, I understand that my pet will be induced under general anesthesia for his/her procedure at Heartsong Spay/Neuter Clinic. I acknowledge that risk always exists with any anesthesia and with all medical procedures, and I affirm my understanding and acceptance of these risks. I understand that my pet may have a pre-existing condition, known or unknown, which may not be apparent at the time of surgery and could increase anesthetic and post-surgical risk. I also understand that pre-operative blood work and tests will not be performed before surgery unless specifically requested by Heartsong and I am agree to this. I hereby verify that my pet has not had any food or liquid for the past eight (8) hours. I understand that if my pet is over five (5) years of age, he/she is also at greater risk for surgery without these tests being performed before the procedures. I understand that if my pet is not current on his/her rabies vaccination and bites someone, it is subject to state and local laws that my require quarantine at owner’s expense. Pregnant, in-heat, or obese female animals undergoing procedures will require additional charges, as will cryptorchid males. I accept responsibility for these charges with or without being notified by Heartsong prior to procedure completion.

 
 
I understand that Heartsong Spay/Neuter Clinic will use all reasonable precautions against injury, escape, or harm in any way to my pet and I will not hold Heartsong, its veterinarians, employees, staff, owners, and/or volunteers liable or responsible in any manner whatsoever concerning the care, treatment, or safekeeping of the animal. I assume all risk for the procedure(s) and acknowledge same by my signature below.  I also understand that if my pet is exceedingly challenging/dangerous to handle behaviorally, requiring extra  Heartsong staff, equipment, time above what is reasonable and customary to successfully complete the procedure(s) and ensure safety of all involved, that I am responsible for an additional fee to compensate.
 
 
 
I wish for my pet to receive appropriate pain medication pre or post operatively. I understand that there is a chance of reaction to pain medication that may adversely affect my pet. I will receive aftercare instructions for my pet, which I commit to follow. Failure to follow these instructions may result in injury/illness to my pet. I agree to hold harmless Heartsong Spay/Neuter Clinic, its veterinarians, employees, staff, owners, and/or volunteers should any adverse reaction to medication(s) occur causing illness, injury, and/or death to my pet.
 
 
I understand that payment in full is due at the time of service, including any additional charges as stated above. Heartsong Spay/Neuter Clinic accepts cash, Mastercard, Visa, Discover, American Express and debit cards as payment. *Checks will not be accepted as payment under any circumstances*
 
 
 
I understand that I will be assigned an appropriate pick-up time for my pet. I agree to be available to pick-up (or otherwise arrange to have picked-up) my pet at the advised time. I acknowledge that this is important for the welfare and safety of my pet and agree that if my pet is not picked-up on time, I am responsible for a late charge. I further understand that Heartsong has no overnight boarding facilities and cannot board or care for my pet after closing time on the date of procedure. Should I fail to pick up my pet or do not pay in full for services rendered on the day of procedure, my pet will be surrendered to Davis County Animal Services, and may be considered abandoned under state and local laws.abb
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