BBAWC Surgery Clinic High Risk Waiver

Owner Information

Cat Information

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

I, the undersigned owner or authorized agent of Zarr, have been informed by the attending veterinarian and acknowledge and understand my cat has been diagnosed with a high-grade cardiac murmur and understand that this significantly elevates the risks associated with anesthesia and surgery.

This clinic operates as a high-volume spay/neuter facility with standardized anesthetic protocols that are not tailored for patients with cardiac conditions. I have been informed and understand that this facility does not utilize cardiac-optimized anesthetic protocols, and that safer alternatives are available at general practice facilities. I understand that anesthetic complications — up to and including death during or immediately following the procedure — are a real possibility in cardiac patients, and that cardiac decompensation or heart failure can occur days to weeks after an apparently successful surgery, potentially resulting in sudden death.

Additionally, my cat’s cardio BNP (NT-proBNP) test was abnormal, which raises further concern for an underlying structural heart defect and increases the overall anesthetic risk.

Despite this recommendation, I am voluntarily choosing to proceed with surgery at this facility, and I accept full responsibility for this decision as well as any risks described above.

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.