Surgery & Sedation Consent Form

Surgery & Sedation Consent Form

All surgeries include an exam, nail trim, and ear cleaning.

We do require any canine over 1 year of age to have a current Heartworm Test.

All pets must be current on vaccinations.

Additional Services / Procedures

We are a flea and tick free environment. If any are noted on your pet we will treat at your expense.

Date of Surgery

Client Name - First Name

Client Name - Last Name

Pet Name

Age

Weight

Species

Sex

Altered

Breed

Color

Surgery / Sedation requested

We recommend bloodwork for every pet regardless of age, but require it for any pet over 8. This bloodwork helps us detect any internal problems not evident on a physical exam.

We place an IV catheter in every surgery patient. We require it in certain patients and/or surgical procedures.

Microchip

E-Collar

Refill Preventative(s)

Anal Gland Expression

Please list any other services / issues for the procedure.

I understand that with any sedation there are risks involved, I have been advised of these risks and wish to have my pet sedated. I also understand that any complications resulting from sedation does not relieve me from my financial obligation

Digital Signature (type full name as signature)

Contact Number

Proudly Privately Owned & Operated

August Specials

September Specials

Surgery & Sedation Consent Form

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