Dental Form Front Desk EmailThis field is for validation purposes and should be left unchanged.Pet's NameClient Name First Last Drop off time is from 7-8 am on surgery day. If you are unable to arrive in that time frame please let us know.Hoof and Paw Pre-Surgical Paperwork ***Please leave us a phone number(s) where you can be reached the day of surgery***Home PhoneNameCell PhoneNameWork PhoneNameOther PhoneNameEmail Please read carefully and sign Your pet is scheduled for surgery/anesthesia. We recommend a blood profile to ensure that your pet is in a low risk category prior to anesthesia. The latest technology has enabled us to run safe and accurate blood chemistries minutes before anesthesia induction. These tests are similar to those your own physician would run if you were to go under anesthesia. In addition, the results of these tests will serve as reference values for future use should your pet become ill. Please check one option and sign below.Pre anesthetic bloodwork, healthy patients 6 mo to 6 years old – $80Yes, I would like the recommended blood tests performedNo, I have elected to refuse the recommended blood work at this time and request that you proceed with anesthesia. I assume full financial responsibility for this animal and understand that there is always a risk with anesthesia.REQUIRED for patients 7 years and over Pre-anesthetic bloodwork, 7 years and over – $98.00 (as of 3/15/2024)Signature First Last Date MM slash DD slash YYYY
