Spay/Neuter Consent Form


Fluids INCLUDED - I.V. fluids provide access in the event that emergency drugs are required. They also help to maintain blood pressure and prevent dehydration, which helps your pet feel better and recover faster from the anesthetic. (Male cats receive Sub-Q fluids)
 

Pre-Surgical Blood Panel - Pre-Anesthetic bloods provide information on the ability of internal organs to cope with an anesthetic procedure and help identify underlying medical conditions, which may require treatment prior to anesthesia.
 

Pre-Anesthetic tests and intravenous fluids do NOT guarantee the absence of anesthetic complications, including death, however they may greatly reduce the risk.
 

Deciduous Teeth (Baby Teeth): Most pets will have lost their baby teeth by the time they are 6 months of age. If these teeth have not fallen out on their own by this time we recommend getting them removed to avoid overcrowding of the mouth. You may opt to wait to see if the teeth fall out on their own, however, if they do not fall out and need to be removed there will be an additional anesthetic charge ($57.36 first tooth, $22.92 each additional tooth).
 

Would you like a Pre-Surgical Blood Panel ($160.96)? *
Would like us to remove any deciduous teeth? *
If your pet is found to be pregnant at the time of the spay, how do you wish to proceed? *

For Your Convenience

If any additional minor health concerns (i.e. ear infection, skin infection, fleas, etc.) are deemed advisable because it would be more economical while your pet is in clinic, we will attempt to contact you for permission to proceed at the phone number provided. If we cannot reach you at the number provided, please indicate how you would like us to proceed:

Please select one *

Optional Procedures (Additional Cost)

Would you like any additional services while your pet is at the clinic? *

Vaccination Waiver

Acknowledgement

I hereby authorize and direct the Albert North Veterinary Clinic to provide such additional services for the patient as they deem reasonable and necessary, under emergency circumstances, including, but not limited to, the administration of emergency drugs, radiology, pathology or other diagnostic services, and hereby consent thereto.

By signing below, I hereby authorize and direct the Albert North Veterinary Clinic to perform the services I have initialed above. The risks and nature of anesthetic, including death, have been explained to me and no warranty or guarantee has been made to the result or cure. I am aware my pet may need to be shaved for medical/monitoring needs.
 

Medical History

Is your pet on any medications?

Please read the following carefully: Some medications that may be sent home with your pet, after their surgery, are not in child-proof containers. Medications such as Metacam for example (for pain control), are drawn up for you in individual pre-dosed syringes. These syringes are not child-proof. One alternative is to receive a full bottle of Metacam that is in a child-proof container.

Please select one *

A Cone collar is included in the cost of your Spay/Neuter procedure. Cone collars are sent home to prevent your animal from chewing/licking at their incision during their 2 week recovery.

Please select one *

Post-Surgical Acknowledgement

It has been explained to me that if I do not use the cone or restrict my pet's exercise as directed, it could cause the incision to open, leading to additional surgery and medications at my expense. If I have any questions I will contact the Albert North Veterinary Clinic.
 

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