Prairie View Animal Hospital

Menu
  • Home
  • About Us
    • About Us
    • Dr. Lisa Thilges
    • Dr. Lin Kauffman
    • Our Team
    • Gallery
    • Reviews
    • Blog
  • Careers
  • New Clients
    • New Clients
    • Online Forms
    • Pet Insurance
  • Appointments
  • Services
    • Services
    • Preventative Care
    • Dental Procedures
    • Digital Radiography
    • Internal Medicine
    • Laboratory
    • Laser Surgery
    • Pharmacy
    • Soft Tissue & Orthopedic Surgery
    • Small Animal Reproduction
    • Ultrasound
  • Online Pharmacy
  • Contact
  • Pet Portal

Surgery Consent Form

Surgery Consent Form

  • Required Vaccines and Exams for Surgical Procedures

    Canine: Rabies, Distemper/Parvovirus Feline: Rabies, DistemperI understand that if I cannot provide records of my pet’s current vaccines and/or exam, for my pet’s safety Prairie View Animal Hospital will provide my pet with the updated vaccines and/or exam prior to any procedure.I understand that in order for my pet to have surgical procedures done, they must have had a current physical exam (within the last year), current blood work (within the past two months), and have been healthy since the blood test was performed. If there is no current blood work on file, I understand that Prairie View Animal Hospital will, for my pet’s safety, obtain current blood work. In-house pre-surgical blood work is performed to ensure that my pet is healthy enough to be sedated under anesthesia. This test is NOT optional. If your pet is less than eight (8) years of age, you may opt for a minor or major blood chemistry panel. If your pet is older than eight (8) years of age, a major blood chemistry panel is required. I understand that a small area on one of my pet’s legs will be shaved for the purpose of placing an IV catheter as well. Additional medications may be provided at an additional cost.
  • Surgical Options

    Prices subject to change.
    $20.24 to $60.73
    $134.40
    $6.50 to $29.06
    $44.10
    $22.50
    $13.00
  • Please indicate where the lesion(s) and/or areas in question are, and any additional information.
  • I authorize the use of sedatives and/or anesthetics as you deem advisable in the performance of such surgical, diagnostic, and therapeutic procedures. I understand that the administration of any sedative and/or anesthetic agent carries a small but realistic possibility of side effects, which may include death. I recognize the risks and complications that are involved. I acknowledge that no guarantee or assurance has been made as to the outcome of this procedure. I understand and accept the potential risks associated with the above procedures of my pet. I give Prairie View Animal Hospital authorization to perform surgery on my pet.
  • Date Format: MM slash DD slash YYYY
Prairie View Animal Hospital

(515) 986-2841

1830 SE Princeton Suite A, Grimes, IA 50111

Monday: 7:30AM - 7:00PM
Tuesday - Friday: 7:30AM - 5:30PM
Saturday: Closed
Sunday: Closed

ScratchPay Application
Sitemap | Accessibility
Website by DOCTOR Multimedia
Font Resize
Contrast
  • Accessibility
  • Careers
  • Dr. Lin Kauffman
  • Dr. Lisa Thilges
  • Drop-Off Form
  • Home
  • New Patient Registration Form
  • Parasite Prevention
  • Reviews
  • Sitemap
  • Small Animal Reproduction
  • Surgery Consent Form
  • Thank You
  • About Us
    • Gallery
  • Our Team
  • New Clients
    • Pet Insurance
    • Online Forms
  • Services
    • Laser Surgery
    • Ultrasound
    • Preventative Care
    • Soft Tissue & Orthopedic Surgery
    • Internal Medicine
    • Laboratory
    • Pharmacy
    • Digital Radiography
    • Dental Procedures
  • Specials
  • Contact