• Date*
     - -
  • Like you, our greatest concern is the well-being of the patient. Before placing your pet under anesthesia, a veterinarian will perform a complete physical examination to identify any existing medical conditions that could complicate the procedure and compromise the health of your pet.

    Because there is always the possibility a physical exam alone will not identify all of your pet’s health problems, we strongly recommend that a pre-anesthetic profile (a combination of tests) be performed prior to anesthesia. The tests we recommend are similar to and equally as important as those your own physician would run if you were to undergo anesthesia.

    It is important to understand that a pre-anesthetic profile does 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 or before anesthesia.

  • *The combination of blood tests we recommend for the apparently healthy younger pet (under 7 years old) is listed below.

  • Cost $ 100.95

    • BUN, Creatinine, ALKP, ALT, Glucose, Total Protein (kidneys, liver, diabetes, dehydration)
    • Electrolytes (dehydration)
    • CBC (anemia, infection, clotting)
  • The combination of blood tests we recommend for the older pet (over 7 years old) is listed below.

  • Cost $178.50

    • BUN, Creatinine, ALK, ALT, Glucose, Total Protein, Albumin, Total Bilirubin, Phosphorus, Amylase, Cholesterol, Calcium
      (kidneys, liver ,diabetes, dehydration, protein, pancreas, tumors)
    • Electrolytes (dehydration)
    • CBC (anemia, infection, clotting)
  • I decline the recommended pre-anesthetic tests at this time and request you to proceed with anesthesia.

  • Our practice understands the importance of pain management and offers effective methods to meet the patient’s specific needs. You can help protect the patient from unnecessary pain by accepting our practice’s recommendation for pain relief medication. Please choose one of the following:

  • *I authorize the use of pain relief medication. Cost ~ $81.70-142.50 (depending on species and weight)

  • I decline the use of pain relief medication.

  • Additional services available that require anesthesia for your consideration:

  • Format: (000) 000-0000.
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