Dental Release Form


  • Consent to Treatment

    The doctors at Riverside Animal Hospital will do everything possible to preserve and maintain the health of your pet's teeth. During the examination and cleaning, loose or decayed teeth may be found. Unhealthy and decaying teeth can lead to further health complications including heart disease. If, in the doctor's professional opinion, these teeth should be removed, do you give your consent?
  • Additional Services

    Please check any additional services you would like to be done while your pet is under anesthesia.
  • Signature

    When you arrive to drop off your pet(s), our receptionists will print this form and ask you to sign below.