Please read carefully and sign.

Your pet is scheduled for a procedure that requires anesthesia.  Like you, our greatest concern is the well-being of your pet.  Therefore, we would like to take this opportunity to recommend pre-anesthetic testing and explain why it is important to the health of your pet.

Before surgery, a veterinarian will perform a complete physical examination.  Because there is always the possibility a physical exam alone will not identify all your pet's health problems, we strongly recommend a pre-anesthetic profile be performed prior to anesthesia.  these tests are similar to and equally as important as those your own physician would run if you were to undergo anesthesia.

Although we use the lates and safest anesthetics available and perform a pre-anesthetic profile, it is important to understand that these precautions will not guarantee the absence of anesthetic complications.  It may, however, greatly reduce the risk of complications as well as identify medical conditions that could require medical treatment in the future.

The pre-anesthetic profile recommended must be done in advance as it is sent to an exotic animal specific laboratory and costs $150.00.

If you choose to decline a complete pre-anesthetic profile on your pet, we will require a basic test (paced cell volume/total protein) to assess your pet's general health today.  The cost of this test is $14.38

Phone number I can be reached today: __________

Preferred method of contact (for post-surgical updates): Phone call____ Text____

 

Please answer the following pre-surgery questions:

During the past week, has your pet exhibited any of the following symptoms?

Loss of appetite____ Vomiting____ Changes in defecation____

Coughing/Sneezing___ Lethargy____ Other___

 

While sedated it is a good time to microchip your pet.  Would you like to have this done today for $54.25?   (circle one)   Yes     No

 

If necessary, an Elizabethan collar will be sent home with your pet.  the cost depends on the type and size needed.  These collars are to prevent licking/chewing at incision sites, pawing at the mouth and/or to help avoid the removal of sutures.

All surgeries will have an intravenous (I.V.) catheter placed in one front or back leg (if able) to administer fluids during the surgery and to have access for giving medications.  This will require a small amount of hair to be shaved to prep the area.