Surgery Consent Form

  • Disclaimer

    Your pet will be scheduled for a procedure that requires anesthesia, though very unlikely, anesthesia inherently carries some risk. Therefore, we would like to take this opportunity to explain why pre-anesthetic blood testing will be performed and why it is important to the health of your four legged family member. The anesthetic agent is removed from the body by the liver and kidneys, so it is important to know before anesthesia that these organs are functioning at 100%. Like you, our greatest concern is the well-being of your pet. Before putting him/her under anesthesia, a veterinarian will perform a full comprehensive physical examination to identify any existing medical conditions that could complicate the procedure and compromise the health of your pet. There is always the possibility that a physical exam alone will not identify all of your pet’s health problems. The pre-anesthetic blood profile (a combination of blood tests) is performed prior to anesthesia. This blood profile that we complete in our lab is similar to, and equally as important as those your own physician would run if you were to undergo anesthesia. Results will be immediately available before general anesthesia and/or surgery. The cost of this pre-anesthetic blood profile is included in your estimate. It is important to understand that a pre-anesthetic blood profile does not guarantee the absence of complications. It may, however, greatly reduce the risk of complications that could require medical treatment in the future. If your pet is geriatric or ill, we strongly recommend upgrading to a full comprehensive blood screening.
    We offer electrocardiogram (ECG) to all patients as part of the pre-surgical work-up. An ECG is a diagnostic tool used to screen patients for the presence of hidden heart disease and/or arrhythmias that can form at any age. ECG’s are conducted the morning of surgery and are evaluated by board-certified cardiologist prior to surgery. Anesthesia protocols are often based on the findings of these reports. ECG’s are optional, but highly recommended tools to ensure a favorable outcome for your pet’s procedure.
    Reuniting lost or stolen pets with their owners is an increasing problem. The AKC Identification Microchip can help alleviate this problem. This small chip, implanted between your pets' shoulder blades, will allow veterinary hospitals, shelters, and law enforcement to identify your pet and contact you.
  • Please click to acknowledge the following statements:

  • I understand that there are risks associated with anesthesia and the procedures set forth above. I am satisfied after speaking with the staff of Ross Hospital for Animals that they will treat my pet as they deem necessary for their health, safety, and well-being. However I do understand that no guarantee of successful treatment can be made. I acknowledge that I have read and fully understand this Authorization for Medical Treatment, the reason why such medical treatment is considered necessary, as well as, its advantages and possible complications, if any. I have received an estimate for the procedure. (If you have not, please ask for one now!) I understand that payment is due at the time my pet is discharged and that a deposit may be required for extensive medical or surgical procedures.
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