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As owner (or agent for the owner) of the pet mentioned above, I give consent to MANCHACA VILLAGE VETERINARY CARE (MVVC) to perform the following procedures:

If this is a SPAY or NEUTER, do you elect LASER SURGERY? The laser surgery method uses a carbon dioxide laser, which produces an invisible beam of light that can remove one precise layer of tissue at a time. This process produces less swelling, less bleeding, less post-operative pain, and can reduce your pet’s recovery time, leading to a quicker return to normal activities. Make applicable choice below. Leave blank if this is not for a spay or neuter.

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Would you like your pet to have a MICROCHIP implant while he/she is asleep during procedure? The HOME AGAIN MICROCHIP ID SYSTEM allows your pet to be scanned for identification purposes in the event someone finds your lost pet. All area shelters and vet clinics have the capability to scan lost pets' microchips and contact you should your pet be brought there. Microchip and implantation fee special: $9.00 (reg. 45.00), plus $20.40 one-time registration fee. See www.homeagain.com for details.

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By initialing below, I authorize Manchaca Village Veterinary Care (MVVC) to perform any emergency, anesthetic, or surgical procedures that may be necessary for treating and maintaining my pet’s well being. While I expect all procedures to be performed to the best of the staff’s ability, I realize the hospital makes no guarantee or warranty regarding the results. If my animal should injure itself, escape, fail to eat, become ill or die, I won’t hold MVVC or it’s employees responsible. I expect the use of reasonable precautions to ensure my pet’s safety, and I agree to pay in full when the pet is discharged.

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Please type your initials in the field next to the following statements to confirm you understand and agree: