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Teeth Cleaning Consent Form 
I hereby give my consent from this day forward to the staff of Unleashed to carry out, on my behalf; teeth cleaning of my dog

  • I understand staff will be using the ultrasound toothbrush on my dog which has no vibration, no movement and no noise. I understand staff will take before and after pictures to show me.

  • I understand that tartar, plaque or stains will be removed from the teeth during brushing and that a non sharp plastic tool may be used to aid this process.

  • I understand that the staff will stop the teeth cleaning session and I may need to seek veterinary assistance if: *

    • Any loose teeth are suspected 

    • If my dog objects and becomes stressed or aggressive. 

    • Any obvious abnormalities are visible or suspected in the mouth such as: A foreign body embedded in the mouth, Oral warts, Oral Injuries or Tumours

 

I understand that: *

  • There may be some minor signs of blood on the gum line during and after teeth cleaning as the tartar and the plaque is removed. 

  • If the session has to stop for any health or behaviour reasons, I will still happily pay for the full session taking place

 

I declare that: *

  • I do not know of any medical reason why teeth cleaning cannot be carried out on my dog and I acknowledge that it is my responsibility to inform staff in the future should this be the case. 

  • I am aware that the teeth cleaning service is not a substitute for a veterinary inspection and staff are not qualified to diagnose abnormalities or disease.

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