New Patient Application
Your Pets Are Our Priority
New Patient Form
What to Expect
1. Drop Off
I certify that my animal is in good health and will have had no food or water since midnight the evening prior to surgery.
I understand that if my pet is not fully vaccinated, it may come in contact with disease from other animals while in OPI’s care and I will not hold OPI responsible should they contract a disease.
I certify that, to the best of my knowledge, any animal I present to OPI has not bitten anyone within 10 days prior of this date.
I hereby request surgical spay/neuter by OPI. I declare under penalty of perjury that I am the legal owner or agent of the above animal, care for the animal(s) I have listed, and/or I am properly authorized to present the animal(s) for the indicated surgery vaccination, and/or treatment. I understand the requirements listed below and agree to them. I have had the opportunity to ask questions concerning anything I do not understand.
I declare that I have been feeding or caring for these animal(s), or have direct knowledge that these animal(s) are being fed regularly. I have no reason to believe that they are living an inhumane lifestyle.
I understand that the operation presents some hazards and that injury to or death of such animal may conceivably result, for there is some risk in the procedure and the use of anesthetics and drugs in providing these services. I recognize and understand the risks inherent to anesthesia and surgery, particularly for animals that are pregnant, in heat, injured, sick, and/or have no medical history available. I understand that the animal(s) do not undergo a
pre-anesthetic evaluation/blood work by a veterinarian. By presenting these animals for surgery, I accept the risks for any underlying health problem that would complicate recovery and/or survival from anesthesia and/or surgery.
I understand the inherent risks of failing to maintain current vaccinations and waive all claims arising out of or connected with the performance of this operation or procedure due to such failure.
If during the procedure other problems are recognized I hereby consent and authorize the performance of procedures necessary and desirable in the exercise of the veterinarian’s professional judgment. All procedures may be stopped under direct recommendation of the acting veterinarian.
I understand feral cat(s) will be “ear tipped” (a small portion of the tip of an ear removed) and/or tattooed for identification in the future and to prevent unnecessary trapping and transport for future clinics.
I understand that if I don’t retrieve my pet at the agreed upon time, that OPI becomes the owner of the animal after 24 hours.
I promise to see that all feral animals receive food, water and necessary care on a regular basis when returned after surgery to the location from which they were collected or to an alternate location if prohibited from returning to their original location.
I agree to hold harmless and indemnify OPI, its agents, board of directors, contract employees and/or volunteers from any losses, injuries and damages to myself and/or to the animals arising out of, or in any way connected to, the services requested herein. This includes, but is not limited to, trapping, treatment, sedation, vaccinations, surgery, recovery and release of the animal.
I understand that OPI will leave a permanent visual mark under every female incision to notify any observer that the animal has been altered.
I certify I am over the age of eighteen years and am fully informed of the contents of this form through reading it and by asking questions to clarify information. I completely understand and agree with its contents before signing it.
Release of Liability:I hereby release, waive, and discharge OPI, its agents, board of directors, contract employees and/or volunteers for the purpose of performing surgery, vaccinating and/or treating my pet. From all liability, for injury, loss or damage to my pet, and any claim or demands therefore, on account of injury to my pet incurred during the performance of this procedure.