Reason for presentation today
Patient Examination and Restraint Consent Form
Birds are very different from our domesticated pets. They often instinctively hide their symptoms until disease
has progressed much farther than we would guess by simply observing them. For example, a bird that just
began fluffing up in his cage yesterday or has just stopped eating or talking, may be found to be quite
emaciated due to chronic disease upon handling. A less than optimal diet (i.e. seed/nut only diets) can
contribute profoundly to a bird’s health status. It is not uncommon for birds to have illnesses without any
outward symptoms at all.
Some degree of restraint is required for proper examination and treatment of all birds. Birds can become very
stressed while being handled and restrained. While infrequent, a bird who is already compromised by disease
can die suddenly and without warning from the stress of restraint alone. As stated above, the degree of illness
may not necessarily be evident. Even routine care can cause overwhelming stress which can cause a bird to die
(i.e. wing, beak and nail trims, etc.).
Unfortunately, there is no good way to diagnose or treat birds without some degree of restraint; this is a risk we
must realize when handling birds.
I, have read and understand the above information. I realize
the risks involved in treating my bird, and hereby give my consent to allow the
veterinarians and employees of Middle Creek Veterinary Hospital to restrain, administer medication, perform
tests and surgical procedures that they deem necessary for the health of my bird under their care. If the bird
should injure itself in an escape attempt, experience stress or die while under their care, I will hold the
veterinarians and employees of Middle Creek Veterinary Hospital free of any responsibility and/or liability in the
absence of gross negligence.
**Client’s names will never be shared. If, at any time, you wish to have your pet’s photo or story removed,
please alert one of our doctors.