Canine Surgical Consent Form

Save time during your next visit. Complete your canine surgical consent form online from any device at any time before your visit.

Canine Surgical Consent 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.

Client verification of information:

Pet verification of information:

Surgical Consent Form Canine

As with any procedure requiring general and/or local anesthesia, there are certain risks that serious complications or even death may result. To minimize the risk of such occurrences, we offer baseline bloodwork be performed in order to assure proper organ function, clotting ability, detect anemia or infection, baseline for future reference. The complete blood count (CBC) is a more sensitive indicator of disease than the physical exam. Additionally, white blood cells (WBCs) and platelets can change within hours due to acute infectious diseases. Abnormal glucose levels can increase anesthetic risk and differ markedly between fasted and non-fasted samples, breeds, age, and sick and healthy patients. Evaluating electrolytes, hematocrit and total protein in fasted patients is essential for monitoring during anesthesia, minimizing the risk of arrhythmias and hypotension, and facilitating patient recovery. I also am aware that my pet will not be supervised overnights and from Saturday afternoon until Monday morning as staffing is not here. The doctor may be in and out of the facilities periodically with providing treatments to patients and/or emergency calls. I further acknowledge and understand that Decatur Veterinary Clinic is not equipped with an Emergency Fire Protection Sprinkler System.
HISTOPATHOLOGY: If the surgery to be performed today is a tumor/mass removal or biopsy, would you like to send the sample to TVMDL for analysis and diagnostics?
***Post surgical options: (ADDITIONAL COST)***
[IF NOTHING IS SELECTED, SERVICES WILL NOT BE PERFORMED]
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