• Companion Animal Hospital Surgery / Dental Form

  •  -
  • Fasting for Surgery

  • Cerenia Pre Surgery Injection

    ** We strongly recommend this for any pet undergoing anesthesia for a better recovery.
  • Would you like your pet to receive an injection before it's procedure that will help with post-surgical nausea, vomiting, inappetence, refusal of medication, restlessness and discomfort? 

     

    < 25lbs $35.00

    26-50lbs $55.00

    51-90lbs $65.00

    > 91lbs $80.00

  • Pre- Anesthetic Blood Screening

    ***(Required for Pets 7 years and older)*** Blood screens alert doctors to any potential health problems while ensuring that your pet is healthy enough for anesthesia / surgery
  • Authorization to proceed

    1) I authorize the use of appropriate anesthesia/medication and support the personal judgement of the Veterinarian. I understand even though every precaution is taken, anytime an animal is anesthetized there is a slight risk that an adverse reation could potentially occur resulting in death. 

    2) I understand during the above listed procedures an unforseen medical condition may become evident that necessitates an extension of or an addition to these procedures. I authorize the performance of such procedures as are perceived necessary in the professional judgement of the Veterinarian. 

    3) I understand that the result of any procedures/surgery can not be guaranteed.

  • Should be Empty: