{"id":1941,"date":"2026-03-23T12:37:06","date_gmt":"2026-03-23T12:37:06","guid":{"rendered":"https:\/\/vianovaequine.com\/anesthetic-statement\/"},"modified":"2026-04-29T15:58:26","modified_gmt":"2026-04-29T15:58:26","slug":"anesthetic-statement","status":"publish","type":"page","link":"https:\/\/vianovaequine.com\/en\/anesthetic-statement\/","title":{"rendered":"Anesthetic statement"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1941\" class=\"elementor elementor-1941 elementor-1812\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-efbe79c e-flex e-con-boxed e-con e-parent\" data-id=\"efbe79c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0d01267 elementor-widget elementor-widget-heading\" data-id=\"0d01267\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Anesthetic statement<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f472b5a elementor-widget elementor-widget-breadcrumbs\" data-id=\"f472b5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/vianovaequine.com\/en\/home\/\">Home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8c7f4a5 e-flex e-con-boxed e-con e-parent\" data-id=\"8c7f4a5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0ccbea8 e-con-full e-flex e-con e-child\" data-id=\"0ccbea8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6f4685d elementor-widget elementor-widget-heading\" data-id=\"6f4685d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fill out the online form <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8c30176 elementor-widget elementor-widget-text-editor\" data-id=\"8c30176\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>For the administration of anesthesia, we would like to ask you to complete the form on this page as fully as possible and sign it digitally.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-603f217 elementor-widget elementor-widget-button\" data-id=\"603f217\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"#formulier\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Fill out form <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-93622b7 e-con-full e-flex e-con e-child\" data-id=\"93622b7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-db3942c elementor-widget elementor-widget-shortcode\" data-id=\"db3942c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"frm_forms  with_frm_style frm_style_formidable-stijlen\" id=\"frm_form_5_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_xf8in43\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"5\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_5\" id=\"frm_hide_fields_5\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"xf8in43\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_5\" name=\"frm_submit_entry_5\" value=\"7b914e84b7\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/1941\" \/><div id=\"frm_field_113_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3>Anesthesia Statement<\/h3>\n<\/div>\n<div id=\"frm_field_146_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h4>Owner \/ Representative Details<\/h4>\n<\/div>\n<div id=\"frm_field_115_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n\t<label for=\"field_n7adk3\" id=\"field_n7adk3_label\" class=\"frm_primary_label\">Salutation\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[115]\" id=\"field_n7adk3\"  data-frmval=\"Dhr.\" data-reqmsg=\"Salutation cannot be empty.\" aria-required=\"true\" data-invmsg=\"Salutation is ongeldig\" class=\"auto_width\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Dhr.\" selected='selected'>Mr<\/option><option  value=\"Mevr.\">Mrs<\/option><option  value=\"Rechtspersoon\">Legal entity<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_116_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n\t<label for=\"field_x3kwf3\" id=\"field_x3kwf3_label\" class=\"frm_primary_label\">First name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_x3kwf3\" name=\"item_meta[116]\" value=\"\"  data-reqmsg=\"First name cannot be empty.\" aria-required=\"true\" data-invmsg=\"First name is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_117_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n\t<label for=\"field_54ovx3\" id=\"field_54ovx3_label\" class=\"frm_primary_label\">Last name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_54ovx3\" name=\"item_meta[117]\" value=\"\"  data-reqmsg=\"Last name cannot be empty.\" aria-required=\"true\" data-invmsg=\"Last name is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_132_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_nth1t3\" id=\"field_nth1t3_label\" class=\"frm_primary_label\">Horse name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_nth1t3\" name=\"item_meta[132]\" value=\"\"  data-reqmsg=\"Horse name cannot be empty.\" aria-required=\"true\" data-invmsg=\"Horse name is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_119_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n\t<label for=\"field_2g4vh3\" id=\"field_2g4vh3_label\" class=\"frm_primary_label\">Breed\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_2g4vh3\" name=\"item_meta[119]\" value=\"\"  data-invmsg=\"Breed is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_120_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_5t6g03\" id=\"field_5t6g03_label\" class=\"frm_primary_label\">Chip number\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_5t6g03\" name=\"item_meta[120]\" value=\"\"  data-reqmsg=\"Chip number cannot be empty.\" aria-required=\"true\" data-invmsg=\"Chip number is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_121_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_gkj7v3\" id=\"field_gkj7v3_label\" class=\"frm_primary_label\">Admission date\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_gkj7v3\" name=\"item_meta[121]\" value=\"\"  data-reqmsg=\"Admission date cannot be empty.\" aria-required=\"true\" data-invmsg=\"Admission date is ongeldig\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_126_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p><span style=\"color: #000000\">You have presented your horse to us for a CT scan or surgery.<\/span><\/p>\n<p><span style=\"color: #000000\">For this procedure, your horse must be placed under general anesthesia. This always entails risks, even for a horse in good condition. We will do everything possible to minimize this risk, but unfortunately, a small risk always remains.<\/span><\/p>\n<p><span style=\"color: #000000\">On a large scale, the risk of death during anesthesia in horses is about 1% of cases. This risk is greater when it concerns:<\/span><\/p>\n<ul>\n<li><span style=\"color: #000000\">Emergency operations<\/span><\/li>\n<li><span style=\"color: #000000\">Heavy horses<\/span><\/li>\n<li><span style=\"color: #000000\">Old horses<\/span><\/li>\n<li><span style=\"color: #000000\">Foals<\/span><\/li>\n<li><span style=\"color: #000000\">Friesians<\/span><\/li>\n<li><span style=\"color: #000000\">Horses with pre-existing heart or lung problems<\/span><\/li>\n<\/ul>\n<\/div>\n<div id=\"frm_field_147_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p><span style=\"color: #000000\">Examples of possible complications include heart failure, myositis, thrombophlebitis, difficulty standing up (fractures), neurological problems, digestive problems, laryngeal edema (airway problems), etc.<\/span><\/p>\n<p><span style=\"color: #000000\">Prior to anesthesia, we will perform a pre-anesthetic examination on your horse. Should any abnormalities arise during this, you will be informed. Anesthesia is administered using state-of-the-art techniques, and your horse will be closely monitored during and after anesthesia.<\/span><\/p>\n<p><span style=\"color: #000000\">It is possible to cover the anesthesia risk by taking out special insurance. The owner is responsible for taking care of this themselves.<\/span><\/p>\n<p><span style=\"color: #000000\">Furthermore, we would like to ask you to complete the questionnaire below as fully as possible. If you have any questions after completing it, you can ask one of the veterinarians.<\/span><\/p>\n<\/div>\n<div id=\"frm_field_134_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_m7vxe2\" id=\"field_m7vxe2_label\" class=\"frm_primary_label\">Has the horse been vaccinated against influenza\/tetanus during the past year?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[134]\" id=\"field_m7vxe2\"  data-frmval=\"Nee\" data-reqmsg=\"Has the horse been vaccinated against influenza\/tetanus during the past year? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Has the horse been vaccinated against influenza\/tetanus during the past year? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_148_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_tv39f\" id=\"field_tv39f_label\" class=\"frm_primary_label\">Has the horse had colic in the past?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[148]\" id=\"field_tv39f\"  data-frmval=\"Nee\" data-reqmsg=\"Has the horse had colic in the past? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Has the horse had colic in the past? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_149_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_qkbxg\" id=\"field_qkbxg_label\" class=\"frm_primary_label\">Is the horse sensitive to colic?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[149]\" id=\"field_qkbxg\"  data-frmval=\"Nee\" data-reqmsg=\"Is the horse sensitive to colic? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Is the horse sensitive to colic? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_151_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_zj4xs\" id=\"field_zj4xs_label\" class=\"frm_primary_label\">Has the horse been sick the last 6 months?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[151]\" id=\"field_zj4xs\"  data-frmval=\"Nee\" data-reqmsg=\"Has the horse been sick the last 6 months? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Has the horse been sick the last 6 months? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_150_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fi rst frm12\">\r\n\t<label for=\"field_f07zv\" id=\"field_f07zv_label\" class=\"frm_primary_label\">Did the horse have surgery in the last 3 months?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[150]\" id=\"field_f07zv\"  data-frmval=\"Nee\" data-reqmsg=\"Did the horse have surgery in the last 3 months? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Did the horse have surgery in the last 3 months? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_141_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_3qrx03\" id=\"field_3qrx03_label\" class=\"frm_primary_label\">If yes, which kind of surgery?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[141]\" id=\"field_3qrx03\" rows=\"2\"  data-invmsg=\"If yes, which kind of surgery? is ongeldig\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_153_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_u9whf\" id=\"field_u9whf_label\" class=\"frm_primary_label\">To your knowledge, is the horse suffering from a chronic sickness or disease?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[153]\" id=\"field_u9whf\"  data-frmval=\"Nee\" data-reqmsg=\"To your knowledge, is the horse suffering from a chronic sickness or disease? cannot be empty.\" aria-required=\"true\" data-invmsg=\"To your knowledge, is the horse suffering from a chronic sickness or disease? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_154_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_j9ddn\" id=\"field_j9ddn_label\" class=\"frm_primary_label\">If yes, which?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[154]\" id=\"field_j9ddn\" rows=\"2\"  data-invmsg=\"If yes, which? is ongeldig\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_155_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_nyodq\" id=\"field_nyodq_label\" class=\"frm_primary_label\">Is the fitness of the horse reduced?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[155]\" id=\"field_nyodq\"  data-frmval=\"Nee\" data-reqmsg=\"Is the fitness of the horse reduced? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Is the fitness of the horse reduced? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_156_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_ko8j2\" id=\"field_ko8j2_label\" class=\"frm_primary_label\">Has your horse travelled a lot in the past few days?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[156]\" id=\"field_ko8j2\"  data-frmval=\"Nee\" data-reqmsg=\"Has your horse travelled a lot in the past few days? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Has your horse travelled a lot in the past few days? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_157_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_rnb6d\" id=\"field_rnb6d_label\" class=\"frm_primary_label\">Has the horse been given medication during the past 2 weeks?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[157]\" id=\"field_rnb6d\"  data-frmval=\"Nee\" data-reqmsg=\"Has the horse been given medication during the past 2 weeks? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Has the horse been given medication during the past 2 weeks? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_158_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_toncz\" id=\"field_toncz_label\" class=\"frm_primary_label\">If yes, which?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[158]\" id=\"field_toncz\" rows=\"2\"  data-invmsg=\"If yes, which? is ongeldig\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_159_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_1i4lr\" id=\"field_1i4lr_label\" class=\"frm_primary_label\">Is the horse oversensitive to specific medicines?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[159]\" id=\"field_1i4lr\"  data-frmval=\"Nee\" data-reqmsg=\"Is the horse oversensitive to specific medicines? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Is the horse oversensitive to specific medicines? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_160_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_7hq4n\" id=\"field_7hq4n_label\" class=\"frm_primary_label\">If yes, which?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[160]\" id=\"field_7hq4n\" rows=\"2\"  data-invmsg=\"If yes, which? is ongeldig\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_161_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_qmuz7\" id=\"field_qmuz7_label\" class=\"frm_primary_label\">Did anything noteworthy occur during previous sedations or anaesthesia?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[161]\" id=\"field_qmuz7\"  data-frmval=\"Nee\" data-reqmsg=\"Did anything noteworthy occur during previous sedations or anaesthesia? cannot be empty.\" aria-required=\"true\" data-invmsg=\"Did anything noteworthy occur during previous sedations or anaesthesia? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_162_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_hsr1j\" id=\"field_hsr1j_label\" class=\"frm_primary_label\">If yes, which?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[162]\" id=\"field_hsr1j\" rows=\"2\"  data-invmsg=\"If yes, which? is ongeldig\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_163_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_4rh0w\" id=\"field_4rh0w_label\" class=\"frm_primary_label\">If the horse is not excluded from slaught, can Via Nova Equine Services BV do this for you?*\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[163]\" id=\"field_4rh0w\"  data-frmval=\"Nee\" data-reqmsg=\"If the horse is not excluded from slaught, can Via Nova Equine Services BV do this for you?* cannot be empty.\" aria-required=\"true\" data-invmsg=\"If the horse is not excluded from slaught, can Via Nova Equine Services BV do this for you?* is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_129_container\" class=\"frm_form_field  frm_html_container form-field\">\n<p><em><span style=\"color: #000000\">**For the treatment of your horse, in some cases we are obliged to administer medicines that are not specifically permitted for horses or other food-producing animals (cascade regulation). If you do not wish to exclude your horse, we will not be able to use many medicines. The medicines used must be recorded by us in the passport. Costs will be charged for this extra administrative procedure.<\/span><\/em><\/p>\n<\/div>\n<div id=\"frm_field_166_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\r\n\t<label for=\"field_mohf6\" id=\"field_mohf6_label\" class=\"frm_primary_label\">In your opinion, are there additional factors that could be of importance?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[166]\" id=\"field_mohf6\"  data-frmval=\"Nee\" data-reqmsg=\"In your opinion, are there additional factors that could be of importance? cannot be empty.\" aria-required=\"true\" data-invmsg=\"In your opinion, are there additional factors that could be of importance? is ongeldig\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Nee\" selected='selected'>No<\/option><option  value=\"Ja\">Yes<\/option><option  value=\"Merrie\">Mare<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_164_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_ixska\" id=\"field_ixska_label\" class=\"frm_primary_label\">If yes, which?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[164]\" id=\"field_ixska\" rows=\"2\"  data-invmsg=\"If yes, which? is ongeldig\" aria-invalid=\"false\"  ><\/textarea>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_136_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h4>General<\/h4>\n<\/div>\n<div id=\"frm_field_142_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_q90p53_label\" class=\"frm_primary_label\">The undersigned (name of owner\/owner's representative) declares to have taken note of the risks of general anesthesia and hereby gives consent for the general anesthesia of his\/her horse as mentioned in this form.\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_q90p53_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_142-0\">\t\t\t<label  for=\"field_q90p53-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[142][]\" id=\"field_q90p53-0\" value=\"Akkoord\"  data-reqmsg=\"The undersigned (name of owner\/owner&#039;s representative) declares to have taken note of the risks of general anesthesia and hereby gives consent for the general anesthesia of his\/her horse as mentioned in this form. cannot be empty.\" data-invmsg=\"The undersigned (name of owner\/owner&#039;s representative) declares to have taken note of the risks of general anesthesia and hereby gives consent for the general anesthesia of his\/her horse as mentioned in this form. is ongeldig\"   aria-required=\"true\"  \/> Agree<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_167_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm12\">\n\t<label for=\"field_auomy\" id=\"field_auomy_label\" class=\"frm_primary_label\">Date of signing\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/label>\n\t<input  type=\"text\" id=\"field_auomy\" name=\"item_meta[167]\" value=\"\"  data-reqmsg=\"Date of signing cannot be empty.\" aria-required=\"true\" data-invmsg=\"Date of signing is ongeldig\" aria-invalid=\"false\"   \/>\n\t\n\t\n<\/div>\n<div id=\"frm_field_143_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 vertical_radio\">\r\n\t<div  id=\"field_ohbnb3_label\" class=\"frm_primary_label\">General term\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_ohbnb3_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_143-0\">\t\t\t<label  for=\"field_ohbnb3-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[143][]\" id=\"field_ohbnb3-0\" value=\"Ik heb de &lt;a href=&quot;https:\/\/vianovaequine.com\/algemene-voorwaarden&quot; target=&quot;_blank&quot;&gt;Algemene Voorwaarden en Addendum&lt;\/a&gt; gelezen en ga hiermee akkoord.\"  data-reqmsg=\"General term cannot be empty.\" data-invmsg=\"General term is ongeldig\"   aria-required=\"true\"  \/> I have read the <a href=\"https:\/\/vianovaequine.com\/en\/terms-and-conditions\/\" target=\"_blank\">General Terms and Conditions and Addendum<\/a> and agree to them.<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_144_container\" class=\"frm_form_field  frm_first frm12 frm_html_container form-field\"><span style=\"color: #000000\"><em>Please remind us that the bill must be paid at the reception immediately after the consultation and\/or treatment. This can be done by Bancontact\/debit card (preferred), credit card (VISA\/Mastercard), or cash. Please contact us if you are not present yourself and would like to pay via a payment link when your horse goes home (= instant payment).<\/em><\/span><\/div>\n<div id=\"frm_field_145_container\" class=\"frm_form_field form-field  frm6\">\r\n\t<div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Send form\"  class=\"frm_final_submit\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/vianovaequine.com\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Bezig met versturen\" style=\"visibility:hidden;\" \/>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_168_container\">\n\t\t\t<label for=\"field_juu4i\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_juu4i\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[168]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"UXCRwcZ8Yhn+uHh97jCHzOhgZ6ZKZlJGGD6PQgVafDKUadUUFqb4dba7JvQlpLCI\" \/><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Anesthetic statement Fill out the online form For the administration of anesthesia, we would like to ask you to complete the form on this page as fully as possible and sign it digitally. Fill out form<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1941","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Anesthetic statement - Via Nova Equine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vianovaequine.com\/en\/anesthetic-statement\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Anesthetic statement - Via Nova Equine\" \/>\n<meta property=\"og:description\" content=\"Anesthetic statement Fill out the online form For the administration of anesthesia, we would like to ask you to complete the form on this page as fully as possible and sign it digitally. Fill out form\" \/>\n<meta property=\"og:url\" content=\"https:\/\/vianovaequine.com\/en\/anesthetic-statement\/\" \/>\n<meta property=\"og:site_name\" content=\"Via Nova Equine\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/vianovaequine\/\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-29T15:58:26+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/anesthetic-statement\\\/\",\"url\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/anesthetic-statement\\\/\",\"name\":\"Anesthetic statement - Via Nova Equine\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#website\"},\"datePublished\":\"2026-03-23T12:37:06+00:00\",\"dateModified\":\"2026-04-29T15:58:26+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/anesthetic-statement\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/vianovaequine.com\\\/en\\\/anesthetic-statement\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/anesthetic-statement\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/home\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Anesthetic statement\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#website\",\"url\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/\",\"name\":\"Via Nova Equine\",\"description\":\"Paardenkliniek in Bree, excellentie in zorg voor uw paard, altijd en overal.\",\"publisher\":{\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#organization\",\"name\":\"Via Nova Equine\",\"url\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/vianovaequine.com\\\/wp-content\\\/uploads\\\/2025\\\/06\\\/via_nova_logo.png\",\"contentUrl\":\"https:\\\/\\\/vianovaequine.com\\\/wp-content\\\/uploads\\\/2025\\\/06\\\/via_nova_logo.png\",\"width\":800,\"height\":242,\"caption\":\"Via Nova Equine\"},\"image\":{\"@id\":\"https:\\\/\\\/vianovaequine.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/vianovaequine\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Anesthetic statement - Via Nova Equine","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/vianovaequine.com\/en\/anesthetic-statement\/","og_locale":"en_US","og_type":"article","og_title":"Anesthetic statement - Via Nova Equine","og_description":"Anesthetic statement Fill out the online form For the administration of anesthesia, we would like to ask you to complete the form on this page as fully as possible and sign it digitally. 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