In order to obtain proper imaging, your pet's fur will be shaved either on it's abdomen and/or chest dependent upon
the procedure being performed today.
We make every effort to perform the ultrasound and/or echocardiogram procedures without using sedation.
However, in certain circumstances sedation does become necessary. By signing the Ultrasound Admittance Form,
you authorize the use of mild sedation for the safety of your pet. You will not be contacted if the use of mild sedation
Ultrasound results take approximately 3-5 business days to return unless you request a STAT report, for an
additional fee. Upon receiving ultrasound results, a doctor will contact you to discuss the findings.Authorization and Risk Assessment:
I authorize Rocky Gorge Animal Hospital to perform the above veterinarian ordered ultrasound and/or echocardiogram
for my pet. No warranty or guarantee has been given to me as to the results or cure afforded by these treatments or
procedures. Additionally, I authorize Rocky Gorge Animal Hospital to perform additional diagnostic, treatment, or
procedure(s) deemed necessary. While Rocky Gorge Animal Hospital provides the highest quality care, I understand
that there are rare complications associated with any procedure.
I fully understand these risks and understand that the veterinarians and the hospital staff members will try to minimize
such risks. I will not hold Rocky Gorge Animal Hospital, the veterinarians, or any staff members liable for any
complications that may arise.
While your pet is in our care, we always want to be prepared with your wishes. In the event your pet should go into
cardiac or respiratory arrest, we need to know how you would like us to proceed.
My typed initials above certifies that I agree to be bound by the terms and conditions stated in this form.