Feline Surgery Consent in Andover, MA | Andover Animal Hospital

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Procedures*

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General Anesthesia

Pre-Surgical Blood Screening*

I understand my pet will have blood drawn for routine screening based on his/her age. This screens for anemia, dehydration, blood sugar, and internal organ function.

Bloodwork already completed on this date:*

Feline Leukemia and Feline Immunodefiency Virus (FeLV/FIV) testing is required within one year of surgery for cats who go outdoors. All cats must have had this test done with results in their medical record. I understand my cat will be tested without prior documentation at the additional cost of $119.

Fluid Administration

Subcutaneous fluids are given underneath the skin to prevent dehydration and speed healing. I understand my pet will receive Sub-Q fluids during his/her procedure.
IV fluids are required for pets 7 years of age or older, and recommended for sick pets, or pets who will be under general anesthesia for one hour or more. This is the best way to maintain blood pressure, hydration, and to provide rapid venous access in the event of an emergency. I understand my pet will receive IV fluids during his/her procedure.

Pain Medication

I understand that pain medication is used with every procedure and aids in a more comfortable and faster recovery. I understand that for most surgical procedures I will be given additional pain medication to give my pet at home.

Microchipping

Please microchip my pet during his/her procedure at the additional cost of $66. This includes the microchip and the first year of registration.

Nail Trim

Please trim my pet's nails during his/her procedure at the additional cost of $21

Flea Preventative

Flea preventative is required for all animals admitted to the hospital within 30 days all year round.

Please indicate what preventative has already been given

Please give Frontline Gold at my expense (Y/N)

Yes
No

Emergency Treatment

I hereby authorize treatment up to and including chest compressions, medications, and artificial respiration in the case of an unforeseen emergency. I understand that these interventions can be costly and outcome is not guaranteed. If the hospital staff is unable to reach me, and the doctors' medical judgment determines that there is no hope for success, I understand the staff will discontinue resuscitation.
Do Not Resuscitate my pet (DNR). I wish to be notified prior to treatment of an unforeseen emergency. I understand that the delay in treatment could result in serious complications, including death.

Please initial: I understand that my pet is not supervised overnight*

Dental Procedures

Estimated Levels 1 and 2

I understand extractions are rare, but may be necessary. Two x-rays and extractions along with additional pain medicine are at an additional cost of $230-$400.

Full mouth x-rays are recommended as standard of care and are the only way to fully evaluate the health of your pet's teeth.*

I approve baseline full mouth x-rays for my pet during his/her dentistry. Additional cost is $186.
I decline baseline.

Estimated Levels 3 and 4

I understand that x-rays and extractions are usually necessary. The cost for x-rays and extractions is as quoted by the doctor

Vaccinations:

All animals must be up to date with required vaccines to board in our facility. Any needed vaccines administered will require an exam for the additional cost of $95. Any exam, vaccinations and/or testing required for boarding will be done and charged to your account without prior documentation.

Please mark the needed vaccines and procedures. (Ask a staff member if any questions)

Vaccinations

Wellness Exam $95
Feline Distemper (FVRCP) $38 (Exam Required)
Rabies $32 (Exam Required)
Feline Leukemia (FELV) $39
Fecal Sample $53
Feline Leukemia/FIV Test $119
Feline Wellness Screen $181

We will be vaccinating your pet while he/she is here as indicated above. We want to inform you there is a possibility your pet may experience lethargy and a mild fever for 24-48 hours. This is a typical response. Adverse reactions include severe vomiting or diarrhea, difficulty breathing, hives and/or swollen face. Reactions usually occur within 30-60 minutes from vaccination but can occur up to 24 hours later. If your pet has a reaction, we will contact you immediately.

Acknowledgement*

Please check to indicate you have read the above paragraph.

I hereby give my consent and authorize the use of general anesthesia for my pet. Andover Animal Hospital strives to decrease anesthetic risk by doing pre-operative examinations and labwork. In some cases the doctor may recommend intravenous fluids and/or further diagnostic tests.

There is always risk with anesthesia. Risk of anesthesia can include cardiac or respiratory arrest, rarely causing death. Other possible anesthetic complications can include allergic reactions, vomiting leading to pneumonia, eye irritation or damage, irritation or injury to the throat, blindness, deafness, cardiac arrhythmias, slow anesthetic recovery, seizures, vomiting, diarrhea, lethargy, coughing, excitement, low or elevated body temperature, and organ damage.

Andover Animal Hospital cannot be held accountable for unforeseen anesthetic complications or cost associated with unforeseen anesthetic complications.

I have read and understand the possible complications associated with anesthesia for my pet.

I understand that my pet is not supervised overnight.

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