Surgery Consent Form

Canine: Rabies, Distemper/Parvovirus Feline: Rabies, Distemper I 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.

Prices subject to change.

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.