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CASTRO VALLEY COMPANION ANIMAL HOSPITAL 2509 Lesley Ave. Castro Valley, CA 94546 5105826311 www.cvcah.comSurgical Release Form Owners Name: Day: Date: Pets Name: Species: Breed: Age: Sex: Description:
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01
Start by reading the surgical release form thoroughly to understand the information and requirements stated.
02
Fill in your personal details, such as full name, date of birth, and contact information, accurately.
03
Provide your medical history, including any known allergies, previous surgeries, and current medications.
04
Specify the surgical procedure for which you are giving your consent.
05
Review the risks and potential complications associated with the surgery mentioned in the form.
06
Sign and date the form to indicate your understanding and consent.
07
If necessary, have the form witnessed or notarized, as per the instructions provided.
08
Submit the completed surgical release form to the appropriate healthcare provider or facility.
09
Retain a copy of the form for your records.

Who needs surgical release form 021618?

01
Any individual who is scheduled to undergo a surgical procedure for which the specific surgical release form 021618 is required.
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Surgical release form 021618 is a document used to authorize a specific surgical procedure, ensuring that the patient has given informed consent for the operation.
The surgical release form 021618 must be filed by the healthcare providers performing the surgical procedure, typically the surgeon and relevant medical staff, along with the patient or their legal guardian.
To fill out surgical release form 021618, you need to provide patient's personal information, details of the procedure, risks and benefits, and signatures of both the patient and the healthcare provider.
The purpose of surgical release form 021618 is to obtain informed consent from the patient, ensuring that they understand the procedure, its associated risks, and their rights regarding the treatment.
The form must report patient's name, date of birth, details of the surgical procedure, potential risks, benefits, and consent signatures from both the patient and healthcare provider.
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