Owner Name(Required)
Address(Required)

I am the owner or the authorized agent for the owner of the animal described above, and I have the authority to execute this consent. My signature below certifies that I am over eighteen years of age.

I have been informed that there are certain risks and complications associated with live cover. I understand that this can be dangerous and although MVEH will try everything possible to avoid injury my mare could be injured. I further understand that during the course of the operations or procedures, unforeseen conditions may arise that may necessitate the performance of additional procedures deemed necessary by the veterinarian(ie, Sedation,use of hobbles, etc.). I am encouraged to discuss any concerns I have about these risks with the attending veterinarian before the procedure is initiated.

I authorize the use of appropriate anesthesia and other medications as needed before, during or after the procedure. I have been informed that there are risks and additional cost associated with the use of any medication.

Untitled(Required)
My mare will be tagged with some sort of identification( ie, neck collar, name plate on halter, or cattle tag) prior to arrival. If she arrives with no identification MVEH will issue one to be placed on halter. Halter must be leather as to allow for break away in an emergency. Foals by the mares side will also be given identification if not already on on arrival.
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The nature of these operations or procedures has been explained to me and I understand what will be done. I am aware Page 1 of 2 that the practice of veterinary medicine is not an exact science and, thus, there are no guarantees for successful pregnancy. I have been encouraged and given the opportunity to discuss any questions I may have regarding my mare's medical care and my questions have been answered to my satisfaction. I accept that my financial obligations remain regardless of the outcome.

I have read and understand this authorization and hereby accept and agree to the terms of the consent for treatment.

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