Canine Spay and Castration / Anesthetic Release

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.

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Owner *

Procedure

Last Heat Cycle (Female)

Pet’s Name *

Medications

Number of Testicles (Male)

Has your pet ever had a seizure? If yes, when?

Animals scheduled for routine surgery must have been fasted for at least 12 hours prior to the procedure. Please indicate below the last time your pet ate.

Last Feeding:

We offer a straight line Green Tattoo near surgical incision as an indicator of the Sterilization Status. We strongly recommend this for prevention of unnecessary surgery later in life.

It is done Free of Charge.

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Our practice does offer an In-Clinic Pre Anesthetic Blood-work:

Chemistry Profile Electrolytes, and CBC. Consists of: ALB, ALKP, ALT, TBIL, BUN, CREA, GLU, NA+, K+, TP,GLOB, HCT, HGB, MCHC, WBC, GRANS, L/M, and PLT

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Heartworm test

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Heartworm Test, plus screen for tick diseases - Ehrlicia, Lyme, Anaplasma Test

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IV Catheter and Fluids help to keep your pet hydrated and organs perfused during a procedure. Required for pets 7 years of age and older.

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We can Microchip your

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Doctors and staff will use all reasonable precaution against injury, escape and death of your pet. Please understand that anesthesia involves some risk to your pet and that you assume all risk, and cost incurred if Pre- Anesthetic Blood-work is declined.

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Canine Spay and Castration

Canine Spay and Castration / Anesthetic Release

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