Surgery Form 3 Boarding, Anesthesia and Lab Consent Form

Answers to the following questions are important to ensure your animal's safety and a smooth procedure.
  • MM slash DD slash YYYY
  • Please provide a phone number(s) where you may be reached at ALL times while your animal is in our care.
  • Please state the procedure recommended to you by the veterinarian. Noting this incorrectly may cause delays. If you are unclear, please call (541)826-9001 and ask to speak to the veterinarian recommending the procedure.
  • Please disclose any behaviors we should know about, those that are particularly dangerous to themselves or humans. This is important for the safety of your animal.
  • If your animal is on medication, and should remain so while with us, please list ALL types and when last given.
  • Please note any known medical issues your animal may have in addition to the reason your animal is staying with us.
  • Though your animal may not be staying for a medical or surgical procedure, it is still important for us to know if there are any know medication issues or allergies.
  • Please select all that apply.
  • Please list here your preferred food choices. We will do our best to accommodate. If we cannot do so, we will notify you as soon as possible. Please send along special feed that may not be readily available to us.
  • If your animal is scheduled for a procedure that requires anesthesia. Pre-anesthetic testing is recommended for their health and safety. Before placing your animal under anesthesia, the veterinarian will perform a complete physical examination to identify any existing medical conditions that may complicate the procedure and compromise their health. A physical exam alone will not identity all potential health problems, thus we strongly recommend pre-anesthetic bloodwork. While pre-anesthetic testing does not guarantee the absence of anesthetics complications, the risk of complications is greatly reduced and medical conditions may be discovered which may necessitate medical treatment.
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  • This field is for validation purposes and should be left unchanged.