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Anesthesia
Release Form

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Anesthesia Release Form

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

THE FOLLOWING WILL BE PERFORMED FOR ANESTHETIC PROCEDURES:

Pre-Anesthetie Blood Work

Under 7 years of age: Chem 10, Complete Blood Count, Electrolytes Cost= $132
Over 7 years of age: Chem 17, Complete Blood Count, Electrolytes Cost= $165

Intravenous Catheter

Your pet’s health is our primary concern. Our most effective and safest anesthetic drugs require the use of an intravenous catheter (IV) placed in the front arm vein. This will require a small area to be shaved and disinfected for TV placement. Your pet will receive intravenous fluids during the anesthetic period, which will provide for safer anesthesia a quicker recover and better pain management An IV also provides the ability to give emergency drugs immediately if needed.


Pain Management

It is our belief that pain control is necessary for patients that have surgery. Not only is it more humane to prevent pain, but it is scientifically proven to shorten the healing and recovery times after surgery. Due to differences in amounts needed by varying sized animals, the cost will vary between $45.98 and $64.13.


Microchip Implant

We can implant a permanent identification number near the shoulders of your pet. A scanner can read the ID number and should your pet become lost or stolen, Animal Control, emergency clinics and some Veterinary hospitals can identify your pet and return them to you. The cost is $84.65 (Lifetime registration available thru AVID Pet ID)

Possible Additional Costs: After an oral examination and dental radiographs we may recommend extractions. Costs for extractions will be calculated by time. For every ten minutes of oral surgery there will be a $66.55 charge.

Patient must be current on vaccinations. If not, they will get updated while under our care.

Vaccine exemptions due to health will be made per the Doctor’s discretion.



Rabies DHPP/FVRCP
Bordetella

K9
$22 $28.60
$17.10

Fe
$22 $28.60

***Patients WILL get treated if fleas are present***

I am the owner or caretaker of the pet. I assume responsibility of care after surgery and authorize the Doctors at The Vet to perform the surgery. I understand all surgeries and anesthesia involve a degree of risk and realize results cannot be guaranteed. While performing the surgery should the Doctor find the procedure(s) to be more involved resulting in additional cost, I will be contacted at the phone number below. If I cannot be contacted, I authorize the doctor to perform the necessary procedure.

***I understand that full payment is required when the patient is discharged.***
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