Caldwell Mill Surgery Release Form

Date

Owner

Patient Name

Surgery or procedure(s) to be performed

While under anesthesia, it is an opportune time to do other procedures. Please inquire about the price for the below procedures:

Yes, I want to add a dental cleaning (leave empty if declined)

No, I do not want to add a dental cleaning

Yes, I would like to add a growth removal (leave empty if declined)

No, I do not want to add a growth removal

Growth Location (leave empty if not applicable)

Yes, I would like my pet microchipped (leave empty if declined)

No, I do not want my pet microchipped

Like you, our greatest concern is the well-being of your pet. Before administering anesthetic to your pet, we will perform a physical examination and run a pre-anesthetic blood analysis for any dog or cat (other than a feline neuter) to ensure your pet is healthy enough to handle anesthesia. Blood chemistry tests give us a closer look at your pet's vital organ function. Pre-anesthetic patient analysis includes: Complete blood cell count - checks for anemia, infection, and clotting Glucose - checks for diabetes Bilirubin - checks for anemia, liver and bile duct function BUN/Creatinine - checks kidney function ALT/AlkPhos - checks liver enzymes Total Protein - checks hydration levels GPT - checks liver enzymes Albumin - checks hydration, liver and kidney function Electrolyte Panel These tests, along with a physical exam allow the veterinarians to uncover problems that may potentially go undetected.

*If your pet is 6 years of age or older, an IV catheter and fluids are required. *If your pet is in heat or pregnant and getting spayed, additional charges will apply.

-Consent- I hereby authorize Caldwell Mill Animal Clinic to perform the above procedures and additional diagnostic treatment or surgical procedures as deemed necessary for medical or surgical complications or otherwise unforeseen circumstances. I understand that all charges are due upon release of my pet or when services are received.

Signature of person responsible

Best phone number you can be reached at today

Discharge Instructions for Surgical & Anesthesia Patients

We thank you for the trust you have placed in us to carry out the anesthesia and surgery that has just been performed on your pet. Our goal with any medical or surgical treatment is to provide your pet with a healthier, happier, and longer life.

Your pet's activity must be restricted for the first 10 days postoperatively: no jumping up and down or vigorous running. Exercise outside on a leash only. These restrictions help decrease stress on incisions and sutures. Check the incision(s) twice daily for swelling, redness or discharge. Minimal amounts of redness and swelling are normal, but no discharge should be present. If you see excessive swelling, redness, or notice any discharge, please call/email our office. Your pet's appetite may be decreased for the first few days, but feedings should be given just as you usually do unless you are advised otherwise.

If your pet was treated as an outpatient and is discharged on the same day that anesthesia was administered, small amounts (1/2 Cup) of water should be given at 15-minute intervals for 45 minutes. If no vomiting occurs feed small amounts at 30-minute intervals for two hours. If still no vomiting occurs, your pet can eat and drink on his or her normal schedule. If vomiting does occur, your pet should be fasted for 3 hours. Then repeat the above watering and feeding procedure.

Diarrhea can also be encountered as a post-operative problem. If diarrhea persist for more than 24 hours after your pet is discharged, please call/email our office.

Coughing can occur as a result of irritation from the endotracheal tube that was placed in your pet's trachea to facilitate respiration and anesthesia. If coughing persists for more that 48 hours, please call/email our office.

Our desire is for this procedure to cause you and your pet as little anxiety and discomfort as possible, so please don't hesitate to call/email if you have any questions or concerns.