I, the undersigned owner, agent of the owner, or Good Samaritan responsible for seeking veterinary care for the pet identified above, certify that I am eighteen years of age or over. I consent to the examination of this pet by staff veterinarians at Pikesville Animal Hospital. I also agree that after consultation with me, the hospital's doctors may prescribe medication for, treat, hospitalize, sedate, anesthetize and/or perform surgery on my pet. I understand that some risks always exist with anesthesia and/or surgery and that I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure is initiated. Should some unexpected life-saving emergency care be required and the attending veterinarian be unable to reach me, the hospital staff has my permission to provide such treatment, and I agree to pay for such care.
I understand that an estimate of the costs for veterinary services will be provided to me and that I am encouraged to discuss all fees related to such care before services are rendered and during my pet's ongoing medical treatment. If this pet is hospitalized, I agree to pay a deposit of 50% of the estimated fees. I agree to assume financial responsibility for the remaining fees and will provide payment via cash, credit card or check at the time my pet is discharged form the hospital. In the event the pet is hospitalized for more than 48 hours and the attending doctor is unable to reach me, I understand it is my responsibility to call the hospital at least every 48 hours to inquire as to the medical status of my pet and the fees incurred for medical services up to that day. I agree to pay a monthly billing and financing fee equal to 1.5% of the unpaid balance.
I understand that veterinary care during nighttime hours and/or weekends is not provided at by Pikesville Animal Hospital. Continuous presence of personnel is not provided during these hours.
I agree that either I, or an authorized agent of mine, will pick up my pet and pay for all accrued charges within five days of receiving written or oral notification that my pet is ready to be released from the hospital. Such notice will be given at the address maintained on the hospital's patient/client record. I agree that if I fail to comply with this policy, the hospital may handle this abandonment in a manner that is in the best interest of the pet and the hospital.
A comprehensive dental cleaning and oral health treatment will entail the following:
1. General Anesthesia
2. Intravenous catheter and fluids
3. Appropriate pre-operative blood work to evaluate my pet's health
4. Complete dental cleaning and scaling
5. Complete evaluation of all teeth through dental probing
6. X-ray evaluation of teeth as appropriate
7. Extraction of teeth that have been damaged beyond a point that they can heal or be salvaged with cleaning and scaling
8. Oral surgery, when appropriate, to extract teeth and close defects as a result
9. Post operative pain medication and antibiotics as appropriate