Feline General Surgery / 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 *

Pet’s Name *

Procedure

What medications is our pet currently on? (Ex. Aspirin):

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:

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

Chemistry Profile and Electrolytes: To check organ function (Consists of: ALB. ALKP. ALT. TBIL.. BUN. CREA. GLU. NA+. K+. TP and GLOB)

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CBC: To check for hydration. anemia. adequate platelets. Inflammation and Infection. (Consists of HCT. HGB. MCHC. WBC, GRANS. L/M. AND PLT)

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Feline Leukemia Virus and Feline Immunodeficiency Virus 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 pet

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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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Feline General Surgery

Feline General Surgery / Anesthetic Release

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