Owner Information
Patient Information

| hereby authorize and direct the veterinarians of this location to perform the procedure and additional diagnostic and/or treatment procedures as deemed advisable for my pet. The nature of the procedure has been explained to me and no guarantee has been made as to the results or cure. | understand that the risk of death can occur during any anesthetic and/or surgical procedure. | agree to pay, in full, for services rendered, including those deemed necessary for medical or surgical complications or unforeseen circumstances. Any estimates or charges for the planned procedures are only approximations, and the final bill may be greater or less than these amounts. All services must be paid for when my pet is released. Some procedures require a deposit to be made before surgery.

We recommend that pre-anesthetic bloodtest be performed prior to the administration of anesthesia as well as intravenous fluids in pets less than 7 years of age. The cost of the blood tests and IV fluids are additional.
Patients 7 years and older are required to have intravenous fluids during the procedure as well as pre-anesthetic blood work. Blood work needs to have been done within 30 days or will be performed the day of the procedure for an additional cost.
Our pets do not show pain as we do. They do not complain as loudly as we do and they accept the levels of pain that we could not imagine. It has been shown that humans recover better and faster if they are pain free. It is the same for our pets. If medically necessary, your fur-baby will be sent home with pain medications.
| would like my pet to have a microchip while under anesthesia. The cost of microchip with registration is additional.
| authorize the doctors and staff to perform any life saving procedures deemed necessary in the event of an emergency.

If we do not have proof of a current Rabies vaccine, one will be given and billed for today if your dog/cat is over 3 months.

Would you like to have laser therapy performed post operatively to speed healing and reduce pain and inflammation? The cost is additional.
Appetite, Attitude, has been normal?
Any coughing, sneezing, vomiting or diarrhea:
Would you like to opt in to texting and receive a photo of your fur baby? Data charges may apply.
*If your pet is pregnant then minimum of a CBC and IV fluids will be performed.
Any previous medical illness?
Any history of seizures?

*If your canine companion is not currently on heartworm prevention or has not had a recent negative test result, then a heartworm test is required.A negative heartworm test prior to anesthesia is required within the last year if over 7 months of age if we do not have proof of having been on heartworm prevention. . If fleas are present on your fur baby, a Capstar will be charged. If ticks are present, Simparica or a Seresto Collar will be charged.

An E-Collar or Cone is highly recommended for all surgical patients, if boarding post-operatively one will be placed upon your fur baby and is required. Exceptions made by doctor's discretion only. Would you like to have an e- collar today to keep your fur baby from licking or chewing at the incision site?
Sign above
CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.