Surgery/ Anesthesia Authorization


updates on my pet's surgery status
Pre-Surgical Questionare
If yes, please present your pet's vaccine certificate (if from another veterinary clinic)

To protect your pet and the other pets entrusted to our care, all animals admitted to the hospital must be current on vaccinations, administered by a veterinarian, in an effort to prevent them from contracting or passing along any illness while in our care. Proof of vaccination is required at the time of admission; if you do not have proof of vaccination we would be happy to contact the veterinarian who vaccinated your pet for you. If vaccines are not current or proof is not available, then we will vaccinate your pet while here.

Recommended services offered by Locust Trace Veterinary Clinic

The doctors and anesthesia nurses at Locust Trace Veterinary Clinic routinely utilize EKG, pulse oximeters, respiratory, and temperature monitors during all anesthetic procedures. In addition there are other recommendations that are offered under general anesthesia.

***Please note that any animal undergoing a surgical procedure will be administered post operative pain medication, and may be sent home with an oral regimen. This is a MANDATORY service to ensure quality patient comfort and care at an additional cost ranging from approximately $20 - $55***

FOR DENTALS ONLY

In the event that the doctors deem a tooth/ teeth are in need of extraction, I hereby authorize the extraction of the tooth/teeth at additional cost. (estimated $18-$40 per tooth)

SURGERY CRISIS TREATMENT AUTHORIZATION

I understand that with every surgery there are inherent risks, including reactions to anesthesia. In the rare instances that my pet may have a medical crisis while under anesthesia,

I hereby authorize the staff of Locust Trace Veterinary Clinic to perform the above procedures for my pet. The nature of the procedure(s) has been explained to me, and I understand and assume responsibility for all risks included in the surgery(s)/treatment for my animal. At the time of discharge, I agree to pay in full for services rendered, including those deemed necessary for medical or surgical complications or unforeseen circumstances.