Sedated GR Release Form

Save time during your appointment. Complete your sedated GR release form online from any device before your visit.

Sedated GR Release Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.


You may use the PDF version by clicking the DOWNLOAD FORM button and completing the printed form by hand. Please bring the completed PDF form for your pet’s appointment.

Small growth removal procedures are best performed with sedation. Sedation medications relax your pet physically and mentally, allowing mildly uncomfortable procedures to be performed in a humane manner. The growth(s) listed below will be surgically removed today, involving the removal of the growth and surrounding tissue. The outer layer of the skin will be closed with surgical staples or sutures. The removed growth(s) will be sent to the laboratory for histopathology, and the histopathology report will provide the doctor with a definitive diagnosis of the tissue. Please indicate below if you would like to send the growth out for this testing. Before performing this procedure, we may recommend a panel of blood work to confirm your pet’s overall health. This can reveal certain health conditions that could put your pet at risk while under sedation. If the results are abnormal, the doctor will contact you regarding treatment options. The test results will then become part of your pet’s medical record for future reference.

Financial responsibilities for services are due at the time of discharge. I also understand that Cranston Animal Hospital is not staffed 24 hours a day, and after-hour treatment of patients is at the discretion of the veterinarian.

I, the undersigned owner or agent of the pet named above, certify that I am 18 years of age or older and authorize the veterinarians of Cranston Animal Hospital to treat or perform needed procedures on my animal. You are to use all reasonable precautions against pain, injury, or escape of my animal. You will not be held liable or responsible in any manner for unforeseen incidents or accidents caused by the care, treatment, or safekeeping of my pet. It is thoroughly understood that I assume all risks and that some risks always exist with anesthesia. As with any general anesthetic procedure, there is a slight risk of an Idiopathic (unknown cause) Anesthetic Reaction (IAR), which in rare situations may be serious and result in death. IAR is thought to be a cardiac hypersensitivity when given the anesthetic at its accepted and standard dosage. IAR has no predisposing factors, does not appear to favor one breed or species over the other, and is not revealed in standard screening tests, making it impossible to predict in advance.