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Owner Consent for CPR or DNR

CPR– Cardio Pulmonary Resuscitation is the treatment provided for a pet who has stopped breathing or whose heart has stopped beating. Resuscitation of a pet who has stopped breathing (but still has a heartbeat) is more likely to be successful than a pet who has no heartbeat.

DNR– Do Not Resuscitate means that if a pet stops breathing or his/her heart has stopped, no effort should be made by our veterinary professionals to attempt to revive the pet, and the pet will be allowed to die.

Owner's Name

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Pet's name

IN THE EVENT OF A MEDICAL CRISIS

CPR or DNR(Required)

I wish for the doctors of the Veterinary Clinic of Myrtle Beach to perform CPR on my pet if he/she suffers respiratory or cardiac arrest. I understand that my pet may or may not respond to this life-saving procedure. I understand that if my pet survives because of CPR, he/she may have permanent health issues. CPR may cost up to $300.00

I DO NOT want CPR performed on my pet. I understand that if my pet stops breathing, and/or his/her heart stops beating, that my pet will die. I elect to have DNR orders placed on my pet’s record for his/her boarding stay.

*This will be effective for one year

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Owner Consent for CPR or DNR

IN THE EVENT OF A MEDICAL CRISIS

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843-444-1234

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843-444-1234