22320 Salamo Rd,
West Linn, OR 97068


Call / Text: 503-655-1722

Sedation Consent Form

You can submit our “Sedation Consent Form” in two ways:

1) Fill out and print our Sedation Consent Form here. You must bring the form printed and filled out on your next visit.

2) Fill out our form online:

"*" indicates required fields

I hereby certify that I am the owner of the above-named animal or am responsible for it and have the authority to execute this consent.*

I hereby authorize the performance of the following procedure(s):

I hereby also authorize the use of such anesthetics as you deem advisable and performance of such surgical or therapeutic procedures as you determine to be indicated.*
I agree to indemnify and hold Cascade Summit Animal Hospital harmless from and against any and all liability arising out of the performance of any of the procedures referred to above.*
Can you be reached by text if we can't reach you by phone?*

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Monday – Friday:
8:00am – 6:00pm

Saturday – Sunday: