Surgery History Form
Please complete this form before coming to the hospital. Thank you!
The phone you will have with you at the appointment.
What surgery is your pet having?
Spay or neuter
Dental (cleaning or cleaning with extractions)
Cystotomy (stone removal)
Tooth trim (rabbit, rat, guinea pig)
Please list any past surgeries your pet has had:
Is your pet showing any signs of illness?
During the surgery, your pet will be placed under anesthetic sedation to keep them comfortable. How has your pet handled being put under sedation in the past?
Handled it well
Had some issues
Never been under sedation
Please list all medications and supplements your pet is on and when they were last given (please also include those not prescribed by Fredericton Animal Hospital):
What food does your pet typically eat?
Does your pet have any behavioural issues?
Needing special handling
Would you like any additional services while your pet is at the hospital? (additional charges may apply)
Placement of a microchip to identify your pet if missing
Updates to any due vaccines
Refills on any current prescriptons
Refills on parasite medication (Revolution, Nexgard)
Your pet's surgery will typically be completed by early afternoon. We will contact you with a post surgery update BETWEEN 11am and 2pm. How would you like to be contacted?
Please bring to your appointment all medications your pet is currently taking.
Should be Empty: