Village Veterinary Hospital 5260 Merle Hay Rd. Johnston, IA 50131 (515) 278-5531 fax number: (515) 251-6564   Laboratory Tests Waiver   I ________________________ (owner's printed name), owner of ___________ (pet's printed name) .........   so, I release the attending veterinarians from any liability that may result from said refusal. I also understand that these procedures are medically indicated to reduce the risks associated with induction and maintenance of anesthesia. I recognize that veterinary medicine is not an exact science and acknowledge that no guarantee or assurance has been made as tot he results that may be obtained. I agree to pay for all services and procedures incurred regarding this animal. The Village Veterinary Hospital staff does recognize and appreciate that you entrust the care of your special pet to us. Pre-anesthetic Blood Testing Intravenous Catheterization While your pet is under anesthesia, we can implant a microchip for permanent identification ( . ) Accept ( . ) Accept ( . ) Accept ( . ) Decline ( . ) Decline ( . ) Decline   ___________________________ ___________________________ ___________________________ Signature of owner or responsible agent Telephone number Date contributed by Lori Martindale, Village Veterinary Hospital, Johnston, IA