Operation Tomcat Takedown Consent Form
IMPORTANT: Please complete this form in its entirety. All fields are required. Incomplete forms will not be accepted, and your cat will not be eligible for surgery until all required information has been provided.
Owner's Full Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Phone Number (in Case of Emergency)
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Cat's Name
*
Cat's Color
*
Cat's Approximate Age (can be estimated - must be AT LEAST 4 months old for surgery)
*
Cat's Weight (can be estimated - must be MINIMUM of 5 pounds for surgery )
*
Feral or Friendly
*
Feral
Friendly
Unknown
Current Medications?
*
Rabies Vaccine Current?
*
Yes - You must provide vaccine certificate as proof before surgery date
No - Cat will be vaccinated while in clinic for the procedure
Please initial next to each statement to acknowledge your understanding and agreement.
I am the legal owner or authorized agent for the above-named cat and authorize the neutering procedure.
*
I understand this is for MALE cats only
*
I understand the risks involved in anesthesia and surgery, and have had my questions answered by the veterinary staff.
*
I understand that pre-anesthetic bloodwork will not be performed prior to my cat’s surgery. I understand that, without pre-anesthetic bloodwork, certain underlying health conditions or abnormalities that could increase anesthetic or surgical risk may not be identified before the procedure. I acknowledge and accept the additional risks associated with proceeding without pre-anesthetic bloodwork.
*
I acknowledge that while complications are rare, they can occur, and I accept responsibility for any additional care required.
*
I understand my cat must arrive in an individual, secure carrier. Cardboard boxes, laundry baskets, and pillowcases are not an acceptable carrier. Please label the carrier with owner last name before drop off.
*
I understand that my cat must be fasted as instructed before the procedure. This means I will not feed the cat after 10pm the night prior to surgery
*
I understand surgery will be declined if my cat is ill or is deemed to be unfit for surgery
*
I agree to prepay $150 (total surgery cost) to hold my cats surgery slot. Cancelation within 3 days of the surgery date will forfeit the deposit
*
I understand my cat will be vaccinated for rabies in accordance with South Carolina state law if I cannot provide a current rabies vaccine certificate.
*
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Consent
Submit Consent
Should be Empty: