Surgical Consent Form

    PRE-ANESTHETIC BLOOD WORK
    Many conditions, including disorders of the liver, kidneys or blood, are not detected unless blood testing is performed. Such tests are especially important before any kind of surgery. We recommend to have pre-anesthetic screening, to reduce the risks of anesthesia.
    VACCINES
    • It is our clinic policy to require up-to-date vaccinations on all pets entering our hospital for surgery, grooming and day boarding.
    • Required vaccines are:
      DOGS:
      • Distemper/Parvo (DAPPV) 
      • Rabies 
      • Bordetella 
      CATS:
      • Distemper (FEL-O-Vax FIV) 
      • Rabies 

    ​SECONDARY SERVICES OFFERED TO SURGICAL PATIENTS
    Your pet has been admitted to The Animal Hospital today for the procedure listed on the front of this consent form. Many times, owners will request that other services be addressed while their pet is in our care. If you would like the veterinarian and staff to provide additional services to your pet, please indicate from the list provided.

    ​All internal and/or external parasites identified upon check in, will be treated at
    owner’s expense.
    PAIN/INFLAMMATION RELIEF
    Pain interferes with the healing process; therefore, we will administer a non-steroidal anti-inflammatory during surgery to reduce pain and discomfort for your pet and to promote a faster recovery. An injectable dose of pain medication will be given with surgery.
    ​
    PAYMENT FOR SERVICE
    ​Payment is due in full at the time of service. You will be expected to pay your entire bill just prior to your pet is discharged from The Animal Hospital unless you and your veterinarian at The Animal Hospital, have made other arrangements. We accept cash, check, credit card and debit card payments.
    ANESTHESIA/SEDATION/PROCEDURE AUTHORIZATION
    • I have been informed that there are certain risks and complications associated with sedation, anesthesia, and/or any operation/procedure and that the risks/complications have been explained to me. I further understand that during the course of the operations or procedures, unforeseen conditions may arise that may necessitate the performance of additional procedures deemed necessary by the veterinarian. I am encouraged to discuss any concerns I have about these risks with the attending veterinarian before the procedure is initiated.
    • The nature of these operations or procedures has been explained to me, and I understand what will be done. I am aware that the practice of veterinary medicine is not an exact science and, thus, there are no guarantees for successful treatment. I have been encouraged and given the opportunity to discuss any questions I may have regarding my pet's medical care and my questions have been answered to my satisfaction. I accept that my financial obligations remain regardless of the outcome and payment is due at time of patient discharge.
    • The doctors and staff of The Animal Hospital are to use all reasonable precautions against injury, escape or death of my pet. I understand that anesthesia involves risk to my pet which can be as severe as death. I also understand that surgical results cannot be guaranteed. I will not hold the Doctors or staff of The Animal Hospital liable for an adverse outcome.