Polidocanol Injection

  • Assumption of Risks

    I am the owner or agent of the above animal and have the authority to execute this consent. I hereby consent and authorize the performance of the following procedure:
  • Risks of the above procedure(s) include (but are not limited to) the following: Sedation complications including death, Prolonged effects of sedation, Infection, Incomplete sclerosing of fluid secreting tissue, Elevation of third eyelid, Corneal ulceration