CONSENT FOR SURGERY & TREATMENT WITH SEDATION OR ANESTHESIA
OTHER RECOMMENDATIONS: Buccal Mucosa Bleeding time (BM/BT) REQUIRED for Rottweilers and Dobermans. **important for certain breeds of dogs common to have bleeding disorders BREED SPECIFIC RECOMMENDATIONS DOGS: Airedale Terrier, Akita, Basset Hound, Bernese Mountain dog, Boxer, Chesapeake Bay Retriever, Dachshund, Doberman, German Shepherd, German Shorthair Pointer, German Wirehair Pointer, Golden Retriever, Greyhound, Irish Wolfhound, Keeshond, Kookier, Manchester Terrier, Miniature Poodle, Miniature Schnauzer, Pembroke Welsh Corgi, Pit Bull, Rottweiler, Shetland Sheep dog, Scottish Terrier, Standard Poodle Pre-anesthetic ECG (electrocardiogram measures heart electrical function prior to anesthesia) **important for pets over the age of 7 years old and certain breeds of cats and dogs to heart muscle problems BREED SPECIFIC RECOMMENDATIONS CATS: Persian, Maine Coon Dogs: Airedale, Boxer, Cocker Spaniel (American), Cocker Spaniel (English), Dalmatian, Doberman Pincher, Golden Retriever, Great Dane, Irish Wolfhound, Newfoundland, Old English Sheepdog, Portuguese Water dog, Standard Poodle Microchip (injection to implant permanent identification) **The microchip is implanted near the shoulder. A unique serial number on the chip allows your pet to be identified if lost, stolen or injured. The number will be listed to Lake Seminole Animal Hospital unless you register the microchip to yourself. Laser Therapy Laser therapy as part of post operative pain management, helps reduce inflammation at the surgery site and speeds the healing process.
I am the owner or agent for the above described pet. I authorize Lake Seminole Animal Hospital to anesthetize/sedate and perform the services described. If requested, I have received an estimate that has been explained to my satisfaction. I accept all procedures done to be to the best of the abilities of the professional staff, and I realize that no guarantee nor warranty can ethically or professionally be made regarding the results or cure. I authorize Lake Seminole Animal Hospital to provide veterinary services as requested or, in an emergency circumstance, to follow through with necessary treatment for the well-being of my pet until further advised. I understand my financial responsibility for all services rendered. I have read, understood, and agreed to authorize this consent by signing below.