Anesthesia—Pre-surgical blood work and physical examination will enable us to assess and minimize the risk of anesthesia for your pet.Preparation—The skin around the surgical area will be clipped and scrubbed with an antiseptic. We follow sterile procedures (surgical preparation, surgical packs, and surgical attire).Monitoring—We further minimize anesthetic risk by monitoring heart rate and rhythm, respiration rate and quality, blood pressure, oxygenation, and depth of anesthesia during the procedure.Catheterization—For most surgical procedures, an intravenous catheter is placed to provide us with an easy route to administer medications and fluids (which support kidney function and blood pressure) during the procedure.Pain Management—We will proactively manage pain associated with any procedure with appropriate pain management medications based on your pets individual needs and medical history.
I understand that it may be necessary for the veterinarian to contact me while my pet is under anesthesia. If I am unavailable, I understand that the veterinarian will proceed in the best interest of pet. I understand that there may be additional charges.
**PLEASE NOTE WE WILL ATTEMPT TO CONTACT YOU ONLY ONCE, TIME SPENT MAKING MULTIPLE ATTEMPTS TO REACH YOU OR WAITING FOR YOU TO CALL BACK UNNECESSARILY PROLONGS YOUR PETS TIME UNDER ANESTHESIA.**
Authorization for Treatment:
I authorize anesthesia/surgery for my pet. The nature and risks of this procedure have been explained to me. I understand that some risks always exist with anesthesia and/or surgery, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure(s) are initiated. My signature on this consent form indicates that any questions have been answered to my satisfaction.
Connecticut state law mandates that all dogs and cats over 3 months of age must be vaccinated for rabies. If your pet does NOT have a current rabies vaccination or proof of a current rabies vaccination at the time of service, we will administer a rabies vaccination to your pet at your expense.
If your dog is 12 months or older, and has never been tested or is due for it's annual heartworm test we require that your pet be tested at this time. We will perform a test called a 4DX that checks your dog for heartworm, and tick borne diseases. We are performing this test because it has has been well documented that these diseases can impair heart and kidney function which greatly increases anesthesia risk.
I authorize MADISON VETERINARY HOSPITAL to perform any additional diagnostic, treatment or surgical procedure(s) deemed necessary for medical or surgical complications or otherwise unforeseen circumstances. While Madison Veterinary Hospital provides the highest quality of anesthesia monitoring and surgical services, I understand that there are rare complications associated with any anesthetic or surgical procedure. No warranty or guarantee has been given to me as to the results or cure afforded by these treatments or procedures.I fully understand these risks and understand that the veterinarians and hospital staff will try to minimize such risks.
I will not hold MADISON VETERINARY HOSPITAL, the veterinarians, or any staff member liable for any complications that may arise.
Consent to Perform Dental Extractions:
During your pets health exams our veterinarians are able to do a visual examination of your pets teeth. Based on what the veterinarian can see your pets oral health will be given a score (or grade). While this can give us an idea of what to expect during your pets dental procedure, the reality is, visually we can only see, at most, 50% of your pets teeth. Once under sedation for the dental procedure we are able to use diagnostic tools such as digital x ray and specialized dental instruments to determine whether a tooth can remain or needs to be extracted due to advanced disease process.
Microchiping your pet is a safe, effective way to permanently identify your petwithout the use of collars, tags, or tattoos. A small microchip is placed just under the skin which can be read by a scanner. All of the local animal shelters as well as animal control officers in the area have scanners to identify “chipped” pets.