Surgery Admission & Consent Forms
  • Pre-Anesthesia / Surgical Admission Questions

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  • We offer these pre-anesthetic blood panels, to evaluate your pet's internal health prior to anesthesia **Senior Pets (7 years and older) are required to have a minimum of Panel #1**

  • DOGS ONLY - Please be aware that Heartworm blood test is required to be up to date (within the last year) for all dogs over 9 months of age



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  • **No personal items from home can be left with us due to the Coronavirus pandemic. Please take your carriers home as well.

  • I, the undersigned owner, or owner's authorized agent, of the above pet certify that I am over eighteen years of age. My pet will be undergoing general anesthesia/sedation and a surgical procedure. There are always certain risks associated with any operation, procedure, and use of anesthesia. Should some unexpected life-saving emergency care be required and the attending veterinarian is unable to reach me, the staff at this practice has my permission to provide such treatment and I agree to pay for such care. I accept that veterinary medicine is an inexact science and that no guarantee of successful treatment has been made

  • I have been given a treatment plan and understand that a deposit of 1/2 of anticipated charges is to be made prior to the procedure with the remainder due at the time of discharge. 

    I understand that due to the COVID-19 pandemic, my signature below indicates acceptance of the treatment plan that I have received.

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