Wheaton Animal Hospital

Surgical Release Information & Consent

I hereby authorize The Pet Experts at Wheaton Animal Hospital to perform the following procedures, operations, placement of an intravenous catheter, and associated anesthesia. I understand that unforeseen conditions may require an extension of a planned procedure or operation.

I hereby consent and authorize the performance of such procedures or operations as are necessary and advisable in the professional judgment of the veterinarian. Dental extractions deemed necessary by the attending veterinarian may be part of dental prophylaxis.

I am aware of and have been advised as to the nature of the procedures or operations and the risks involved. I realize that results cannot be guaranteed.

I am also aware that although there is staff here at times during the night, and doctors are on call for all patients in the hospital, Wheaton Animal Hospital is not a 24-hour facility.

Vaccinations Required for Surgical Patients

Dogs: Rabies, Distemper (DHLPP), Bordetella, Influenza and a fecal test

Cats: Rabies, Distemper (FVRCP), Bordetella, and a fecal test

Our most important priority is the health and well-being of the animals and the safety of our employees. For this reason, we reserve the right to decline surgical procedures on any animal that is not current (within the last 12 months) on vaccines. NO EXCEPTIONS.

PRE-SURGICAL BLOOD ANALYSIS

Routine pre-surgical analysis of blood has been a procedure in human medicine for many years. As veterinary medicine has advanced, now we have the capability to properly evaluate your pet's health.

This blood analysis also can help to evaluate your pet's ability to utilize and metabolize drugs and anesthetics. The detection of underlying problems before surgery is even more important since our patients cannot always tell us how they feel.

The tests we recommend evaluate the major organ functions and other common problems at a particular stage of life. While the performance of these tests does decrease surgical anesthetic risk, they do not detect all potential problems or eliminate all surgical and anesthetic risk. They do not guarantee results or a cure.

Recommended Tests

Less than 5 Years

• PCV (anemia)

• BUN (kidney)

• Glucose (diabetes)

• ALT (liver

Costs $73

5-8 Years

• PCV (anemia)

• BUN (kidney)

• Glucose (diabetes)

• ALT (liver)

• Total Solids

Costs $92

Over 8 Years

• PCV (anemia)

• BUN (kidney)

• Glucose (diabetes)

• ALT (liver)

• Alt Phos. (liver)

• Total Solids

Costs $98

Please confirm that you have read and understand this consent/authorization form by signing below.