This is a consent form to review the medical and financial aspects of procedures performed on my pet by Dr. A. J Cooley.

I hereby give permission to Dr. A. J. Cooley to perform the following diagnostic and/or surgery procedures:

With your permission, “Cool Vet” may share your pet’s picture, video or story on the occasion that stories are featured on facebook, other social medial sites and in print or online or in lectures . Cool Vet may mention your pet’s name, never yours. Although we do not compensate for this, we are grateful that you and your pet are helping others through educating pet owners and the veterinary community.

Should an emergency arise before during or after sedation, anesthesia and/or surgery, Cool Vet and/or my pet’s veterinarian has my permission to take life saving procedures including CPR with the understanding that there may be additional costs.

Signing below indicates that you DECLINE CPR to be performed on my pet if is is ever needed:

I understand the purpose, success rate and possible complications of the above procedures. I accept that veterinary medicine is not an exact science and that no guarantee of successful treatment has been made. I also understand that Dr. Cooley strictly performs surgery, who is only in charge of he surgery or procedures. I understand that the preoperative care, anesthesia, anesthesia monitoring and postoperative recovery will be handled by the hospital and it’s Veterinary team and not by “Cool Vet”.