INDEMNITY FROM THE PET OWNER TO PUNE PET PARK
1. I UNDERSTAND THAT THE PHYSICIANS, ANESTHESIOLOGISTS, SURGEONS WHO PARTICIPATE IN THE OPERATIONS OR PROCEDURE ARE INDEPENDENT CONTRACTORS AND ARE NOT EMPLOYEES OR AGENTS OF PUNE PET PARK, AND ACKNOWLEDGE THE SAME
2. The Surgeon/Physician/Doctor and/or his representative who has countersigned this consent has fully explained to me the condition requiring treatment and the nature, purpose, risk, and benefits of the operation(s)/procedure(s), possible alternative methods of treatment, including non-treatment, and the possibility of complications. I have been given the opportunity to ask questions and any such questions were answered to my satisfaction. No guarantee or assurance has been given by anyone as to the results that may be obtained. I am aware that the practice of medicine and surgery is not an exact science.
3. My consent is given with the understanding that any operation or procedure, including anesthesia, involves risks and hazards. The more common risks include; but are not limited to: infection, bleeding requiring blood transfusion(s), nerve injury, blood clots, heart attack, stroke,
Allergic reaction(s), damage to teeth or bridgework, and pneumonia. These risks can be serious and possibly fatal to my pet.
4. Surgical operations and special diagnostic or therapeutic procedures all involve RISKS OF COMPLICATIONS, SERIOUS INJURY, OR DEATH, from both known and unknown causes. Therefore, except in cases of emergency or exceptional circumstances, these operations and procedures will not be performed unless
5. I consent to the performance of surgery to neuter or castrate my pet and have been explained the process and procedure.
6. I consent to the disposal of any tissue or body part which may be removed during the surgery/procedure (s).
7. I consent to the presence of observers in the operating room, such as students, medical residents, medical equipment representatives, or other appropriate parties approved by my surgeon(s) or management.
8. I consent to the photographing or videotaping of the surgery or procedure(s) to be performed, including appropriate portions of my body for medical, scientific, or educational purposes, provided that my identity is not revealed by the pictures or by descriptive texts accompanying them.
9. If I am not the pet parent, I represent that I have the authority of the pet parent whom, for physical reasons is unable to attend this surgery/procedure, I represent that (a) I have the full right to consent to the matters above; (b) I agree to release, indemnify, and hold harmless Pune Pet Park, its employees, agents, medical staff, partners, and affiliates from any liability or cost arising out of my lack of adequate authority to provide the consent set forth herein.