Surgical Appointment Request Form

Thank you for your interest in an appointment with the Spay Neuter Veterinary Clinic of the Sandhills located in Fayetteville, NC!

Please fill out the information below completely. You can choose the day of the week you prefer for your appointment.

To particpate in this program you must have a Voucher from the Robeson County Animal Services. The Robeson County Voucher covers the cost of surgery if you bring your voucher with you to surgery.  Any additional fees or services needed are not covered by the voucher and will need to be paid 36 hours prior to the day of surgery. This includes rabies vaccination, which is required to be current for surgery.

When we receive the completed appointment request form, we will email you to give you the first available date for your appointment and you will be scheduled for that day.  You will not receive a phone call, so please check your email.

 

Once you receive the appointment confirmation email, confirm back to us within 48 hours that you would like that date or if you prefer a different date. If you do not let us know within the 48 hours that you would like to change the appointment date, your appointment date will be set and the standard missed or canceled appointment fees apply.

You will be able to choose between our two locations:

2709 Bragg Blvd, Fayetteville, NC 28303

and

1400 Linkhaw Road, Lumberton, NC 28358

The Robeson County Voucher covers the cost of surgery alone.  All additional costs will be the responsibility of the owner and must be paid in full at least 36 hours prior to the morning of the appointment.

Please note that we are no longer able to accept just an adoption contract, cage card or other information for surgeries on animals adopted from the shelter.  Each pet must have its own Voucher issued by the shelter. If you do not have a voucher, please reach back out to the shelter. 

Owner Information

Since some of our appointments tend to book pretty far out for some surgery types, we have a short notice appointment list that you can opt to be added to. We are always trying to add additional surgery openings and frequently are able to call owners with openings in the next day or so.

Please note we are not able to leave messages with the openings as we need to speak with the person to confirm the appointment move.  If you are on the list be on the look out for a call from us to move up your appointment.

SNVC Deposit Policy:

$50 of the surgery price is used as a deposit for that surgery.  The deposit goes towards the price of surgery if you show up for your scheduled appointment, but is lost if you do not show up for your appointment or need to change the appointment with less than 10 days notice.

If you cancel your appointment with less than 10 days notice or do not show up for your appointment you will lose the $50 deposit if paid already and will have to repay the $50 deposit per animal to reschedule the appointment.

If you do not show up for your appointment and do not let us know via email or voicemail prior to the end of drop off, which is 8am on the day of surgery, the full price of surgery is lost. 

If you need to cancel your appointment with more than 7 days’ notice and are requesting a refund for the deposit, a $5 handling fee will be charged to cover processing fees.

I understand and agree to the deposit policy as stated. I understand that if I have any questions about payments made or would like to request a refund of any credit on my account, I should contact SNVC directly for that request. Any individual or account who initiates a bank or credit card Charge Back request against any amount paid to SNVC, not just this deposit, will incur a $50 finance fee and will not be seen by SNVC for any services until the account is cleared all money owed with a cash payment. In such case, the account or individual will be served on a cash only basis after the due amount is cleared and the individual will not be eligible for discounts or financial assistance.

Please read and sign below:

I, acting as owner or agent of the pet named above, hereby request and authorize SNVC to perform an operation for sexual sterilization of the animal named above.

• I understand that any anesthetic/surgical procedure, including surgical sexual sterilization, presents a degree of risk to the patient and, though minimal, may result in injury or death.
• I certify that my animal is in good health and not on any medications other than those disclosed.
• I understand the inherent risks of failing to maintain current vaccinations and waive all claims arising out of or connected with the performance of this operation or due to such failure.
• I understand that some factors significantly increase surgical risk, including but not limited to; pregnancy, being in heat, recently post-partum, obese, brachycephalic or over 7 years in age, having a heart murmur and diseases such as Feline Immunodeficiency Virus (FIV), Feline Leukemia, and heartworm disease.
• I understand that blood work and/or veterinary diagnostic prior to surgery is recommended for all high risk pets.
• I understand that if my pet has a pre-existing medical condition, clinical or subclinical, this condition may be worsened by anesthesia and/or surgical sterilization.
• I understand that if my animal is pregnant, the pregnancy will be terminated at surgery.
• I understand that SNVC has the right to refuse service to any animal determined to be ill or at increased risk. Sick animals are at higher risk for anesthetic and surgical complications, as well as pose a risk to other animals in the clinic.
• I understand that SNVC may not perform a complete physical examination before surgery is performed. I also understand that my animal will not receive pre-operative blood work unless requested and waive my right to have this service performed prior to surgery.
• I understand that if there are complications my pet may need to receive post-operative monitoring or care at an emergency clinic and I accept the financial responsibility for that care if deemed necessary by the veterinarian.
• I understand that my animal should have no food after 12:00 midnight the evening prior to surgery (excluding pets less than 4 months old).
• I understand that if my animal has an open umbilical hernia, it may be repaired at time of surgery for an additional fee.
• I understand that if my male animal is a cryptorchid there will be an additional fee for surgery.
• I understand that photographs may be taken during the day, and my pet may be present in those photos. I understand that the photographs taken at SNVC may be used for promotions and advertisements for SNVC. This includes but is not limited to Facebook, Twitter, SNVC website, advertisements, etc.
• I understand that if I do not retrieve my pet at the agreed upon time, SNVC may exercise their right to turn the animal over to the nearest animal control center, humane society, or dispose of as deemed just and proper as allowed by the State of North Carolina under G.S. 90-187.7(a). Owners of pets left after closing at 5pm will be charged a 25.00 per half hour late fee. Owners dropping Pets off past the intake time of 8:00am will be charged a 25.00 late drop off fee and may be turned away for surgery and asked to reschedule.
• I understand that payment in full is required prior to services being rendered.
• I agree to allow SNVC to run any Credit Card(s) on file to cover any remaining balance due. Payments may be processed after the day of surgery.
• I understand that under no circumstances will the Spay Neuter Veterinary Clinic pay for services received at another veterinary clinic, whether the services are related to a surgery done at the Spay Neuter Veterinary Clinic or not.
• I understand that there will be a small permanent green line tattoo next to the incision indicating sterilization.
• I understand that my animal may receive a nail trim and occasionally nails are quicked in the process.
  
• I understand that my animal's fur will be shaved to ensure sterility during the surgical procedure.
• I understand that if the Clinic has any questions regarding your pet or there is reason for concern or increased risk with surgery noticed prior or during surgery, the clinic will attempt to reach the owner at the numbers left at check in. IF THE OWNER IS NOT REACHABLE BY 10AM DAY OF SURGERY I UNDERSTAND THAT SURGERY MAY NOT BE DONE ON MY ANIMAL and you may need to reschedule your appointment
• I hereby release the Spay Neuter Veterinary Clinic of the Sandhills, all veterinarians, assistants, volunteers, directors, and employees from any and all claims arising out of or connected with the performance of this procedure or any adverse reactions from vaccinations. I agree that I have not and will not claim any right of compensation from any of the above, or file action by reason of such sterilization or attempted sterilization of such animal or any consequences related thereto. Owner/agent hereby agrees to hold SNVC unaccountable for any damages caused during the transportation of the animal, or for any damages caused by any unforeseeable events including fire, vandalism, burglary, extreme weather, natural disasters or acts of God.