Surgery Consent

Please review and sign this consent before your pet's procedure. If you have any questions, call us — we're happy to walk through it with you.

First Name *

Last Name *

Address

Street Address *

City *

State *

Country *

Postal Code *

Phone *

Email *

Patient's Name *

Patents Date Of Birth *

Patient's Age *

Patients Breed *

Patients Gender *

Color/Markings *

Neutered/Spayed *

Microchip Number (if applicable)

Other Pets in Household

Surgery Patient ID

I have read and understand the risks and consent to treatment

By checking this box, I expressly consent to receive communications from Gregory Vet Clinic at the phone number, email, and other contact methods I have provided. This may include appointment reminders, billing notices, care updates, marketing and promotional messages, special offers, and practice news — delivered via text message, email, phone call, prerecorded or artificial voice, and automated technology including AI-generated voice and chat. I understand consent is not a condition of receiving veterinary services. Frequency may vary. Message & data rates may apply. To opt out: reply STOP to texts, click unsubscribe in emails, or call (813) 968-5515. Reply HELP for assistance.

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Gregory Vet Clinic • (813) 968-5515

Your information is kept private and used only for your pet's care records.