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Fremont Veterinary Clinic 5055 NE Fremont Portland, OR 97213 Surgery Authorization & Consent Owners Name:Pets Name:Address:Species:Because your pet will have a general anesthetic, the doctors at Fremont
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How to fill out surgery authorization amp consent

01
Obtain the appropriate surgery authorization form from the hospital or surgical center.
02
Fill out your personal information including name, date of birth, address, and contact information.
03
Provide details about the surgery such as the type of procedure, date and time of surgery, and the name of the surgeon performing the procedure.
04
Read through the consent form carefully, making sure to understand all the risks and benefits of the surgery.
05
Sign and date the form to indicate your agreement to the surgery and consent to the treatment.

Who needs surgery authorization amp consent?

01
Anyone undergoing a surgical procedure at a hospital or surgical center will need to fill out surgery authorization and consent forms.
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Surgery authorization and consent is a legal document signed by a patient giving permission for a specific surgical procedure to be performed.
The patient or their legal guardian is required to file surgery authorization and consent.
Surgery authorization and consent form must be completed by providing personal information, details of the procedure, risks and benefits, and signature.
The purpose of surgery authorization and consent is to ensure that the patient understands the risks and benefits of the procedure and gives their informed consent.
Information such as patient's name, date of birth, type of surgery, risks involved, benefits, alternative treatment options, and the surgeon's name.
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