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Surgery & Anaesthesia Consent Form

A surgical consent template — procedure, pre-op instructions and anaesthetic risk set out and consented, so an operation proceeds properly authorised.

Description

Any operation under anaesthetic needs the owner’s informed consent, and this form gives it properly: it sets out the procedure, the pre-operative instructions, and an honest account of anaesthetic risk, then records the owner’s authorisation. It’s the document that lets surgery go ahead on a sound footing. It covers what informed consent requires: confirmation of the procedure, that fasting and pre-op instructions have been followed, acknowledgement that all anaesthesia carries a small risk even in healthy pets, consent to necessary additional treatment found during surgery, and how to be contacted during the procedure. Clear, careful, and protective for pet, owner and practice. Use it before every anaesthetic procedure. Free, brandable, and it can be completed and signed at admission so the surgical list runs on time.

Form fields

Everything the Surgery & Anaesthesia Consent Form above collects — 11 fields, so you can see exactly what it captures before you make it your own.

Surgery & Anaesthesia Consent Form

  • Pet's name

    Short Answer Icon
    Short Answer

  • Procedure to be carried out

    Short Answer Icon
    Short Answer

  • Have you followed the fasting & pre-operative instructions?

    Yes/No Icon
    Yes/No

  • Please confirm you understand

    Multi-Select Icon
    Multi-Select

  • Do you consent to any additional treatment the vet judges necessary during surgery?

    Yes/No Icon
    Yes/No

  • Phone number to reach you during the procedure

    Short Answer Icon
    Short Answer

  • Anything the surgical team should know? (conditions, past reactions, medication)

    Long Answer Icon
    Long Answer

  • Your name

    Name Icon
    Name

  • Email address

    Email Icon
    Email

  • Signature

    Signature Icon
    Signature

  • Authorisation

    Consent Icon
    Consent
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Template FAQs

Common questions about the Surgery & Anaesthesia Consent Form — what it captures, when to use it, and how to make it your own.

Why is written consent needed for surgery?

Because anaesthesia and surgery carry risk, and the owner must understand and authorise the procedure. Informed, written consent confirms you’ve been told what’s involved and agree to it proceeding — protecting both your pet and the practice.

Is anaesthetic risky for my pet?

Modern veterinary anaesthesia is very safe, but no anaesthetic is entirely without risk, even in a healthy animal. The practice minimises it with assessment and monitoring, and this form makes sure you understand it before consenting.

Why does my pet need to fast before surgery?

Because a full stomach raises the risk of complications under anaesthetic. The practice gives fasting instructions, and the form confirms you’ve followed them — vital for your pet’s safety.

What if the vet finds something else during surgery?

The form asks whether you consent to necessary additional treatment discovered during the procedure, and how to reach you. That way the surgeon can act in your pet’s best interest without dangerous delay.

Can I ask questions before consenting?

Absolutely — and you should. The vet will explain the procedure, risks and aftercare, and you should feel fully informed before signing. The form records that consent, it doesn’t replace the conversation.

Is the consent form free?

Yes — free with a Fun Forms account, fully customisable to your practice’s procedures, and it can be signed at admission.

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