BBAWC Surgery Clinic High Risk Waiver

Owner Information

Cat Information

Upon examination by one of our veterinarians, your pet was discovered to have:

Misha is a high risk surgery because he has a grade 3 out of 6 heart murmur and abnormal ProBNP. Heart murmurs in cats can be harmless, meaning nothing is wrong with their heart. However, it could also indicate underlying heart issues causing their heart to not function properly. The only way to find out the exact cause of the murmur is with an echocardiogram (ultrasound of the heart). These exams are performed at a full service or speciality clinic. The proBNP blood test came out as abnormal, meaning there is a higher likelihood that the murmur is being caused by underlying heart disease.

Animals with heart conditions can have bad side effects from the anesthesia which can lead to heart failure and in the worst case, death. We can still perform the surgery today but it’s important to note there will be an increased anesthetic risk.

I understand that some risks always exist with surgery and anesthesia and that these findings indicate that the animal may be at an increased risk for surgery and anesthesia.

This procedure may represent an increased surgical or anesthetic risk, but the doctor is willing to proceed with surgery, if you so choose. By signing below, I, as the Owner/Agent, acknowledge that the BBAWC Clinic staff has informed me of the increased risk to my animal as the result of the conditions identified above, and I understand and agree to accept these risks and/or forgo recommendations for pre-surgical testing and proceed with spay/neuter surgery. By doing so, I acknowledge that any additional issues, complications or costs associated with proceeding with this anesthesia/surgery are my responsibility. I accept that no guarantee of successful treatment has been made. All questions and concerns I have about the risk posed to my animal have been answered to my satisfaction.

I being of legal age (18 or older) and lawfully authorized to make decisions on behalf of the animal described above (the "Cat") hereby agree to the following:

Hold Harmless

I understand that every effort will be made to achieve a successful outcome and to provide for the safety of both humans and animals at the clinic. To the fullest extent permitted by applicable law, you shall indemnify, defend, save and hold harmless BBAWC, its officers, directors, employees, agents, successors and assigns from and against any and all losses of any nature that arise out the services provided at this clinic.

I hereby warrent that (A) I am over 18 years of age, (B) have read this agreement carefully prior to its execution, (C) fully understand this agreement, (D) realize this agreement is an enforceable legal document between myself and BBAWC and (E) voluntarily sign this agreement of my own free will.