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Authorization for Anesthesia Surgery and Dental DOC  Form

Authorization for Anesthesia Surgery and Dental DOC Form

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Admittance. If any teeth are determined by my Veterinarian to be diseased beyond hope of salvation we recommend that they be extracted during the Dental Procedure at an additional cost. As signer I agree to take complete financial responsibility and hold harmless Avian and Exotic Pet Clinic of Roanoke and its staff in the event procedures were fraudulently or improperly authorized. The reasons and complete descriptions of the procedure s have been explained to the signer and no guarantee has...
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