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Surgery Consent Form

Save time during your upcoming surgery appointment! Complete your required surgery consent form online before your visit.

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Surgery Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

OR

You may use the PDF version by clicking the Download Form button and completing the printed form by hand. Please bring the completed PDF form with you for your pet’s first appointment.

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Intravenous Catheter ($32.50) and Fluid Support ($44) $76.50

All surgical patients will have an IV catheter placed prior to surgery. This allows immediate access to the vein if medications are needed in an emergency. The veterinary team will determine if fluids are necessary during the procedure. Fluids given during the procedure provide support to the cardiovascular system.

Initial

Pain Management - Pain medications can help alleviate any discomfort, reduce stress, and allow for a smooth recovery from surgery. Pain medications will be administered as needed.

*Local Surgical Block - - - - $28.00
*Post-Operative Pain Injection - - - -$26.50
*Oral Pain Medication - Ranges - - -$19.50 – $50.00 (based on patient weight)

Initial

Antibiotic Injection $20.50 - $25.50 (based on patients weight)

This injection is given immediately following surgery at the veterinarian's discretion.

Initial

Extraction of Teeth during Dental Cleanings-Extracting teeth requires additional time, instrumentation and skill. We will only extract teeth that are not healthy and cannot be saved. There will be an additional charge for extractions depending on the number of extractions. In order to provide optimum care for your pet we require permission to extract teeth prior to your pet undergoing anesthesia.

Initial
Clear Signature

Intravenous Catheter ($32.50) and Fluid Support ($44) $76.50

All surgical patients will have an IV catheter placed prior to surgery. This allows immediate access to the vein if medications are needed in an emergency. The veterinary team will determine if fluids are necessary during the procedure. Fluids given during the procedure provide support to the cardiovascular system.

Initial

Pain Management - Pain medications can help alleviate any discomfort, reduce stress, and allow for a smooth recovery from surgery. Pain medications will be administered as needed.

*Local Surgical Block - - - - $28.00
*Post-Operative Pain Injection - - - -$26.50
*Oral Pain Medication - Ranges - - -$19.50 – $50.00 (based on patient weight)

Initial

Antibiotic Injection $20.50 - $25.50 (based on patients weight)

This injection is given immediately following surgery at the veterinarian's discretion.

Initial

Extraction of Teeth during Dental Cleanings-Extracting teeth requires additional time, instrumentation and skill. We will only extract teeth that are not healthy and cannot be saved. There will be an additional charge for extractions depending on the number of extractions. In order to provide optimum care for your pet we require permission to extract teeth prior to your pet undergoing anesthesia.

Initial
Clear Signature