Pre-Anesthesia InstructionsClient and Patient InformationIf for any reason you cannot keep your scheduled appointment, please call our office prior to the scheduled date. Animals need to be in the hospital between 7:30 AM-8:30 AM for drop off. This is so appropriate blood work can be performed & per-anesthetic agents may be given. The grooming procedure will be done during the course of the day and your pet can be picked up between 4:30 and 5:30 pm.All pets must be on a leash or in a carrierIt is extremely important that your pet has no access to food after 10PM the night before the procedure. Your pet may have water through the night, but no access to water after 6AM the morning of the procedure. Complete this before the procedure.Pet's NamePet's AgeProcedureHistory of seizures?Or allergic reactions?Is your pet on heartworm prevention?Antibiotics?Any other medications your pet is on:Last time medications give:Would you like your pet microchipped today? ($62.50) Yes NoPhone Number for contact today?Contact NameYour pet is scheduled for a procedure requiring anesthesia. We recommend a blood profile to ensure that your pet is in a low-risk category for anesthesia. The latest technology enables us to run safe and accurate blood chemistries on-site before induction. These tests are similar to those that your own physician would run before you were to undergo anesthesia. In addition, the results of these test will serve as reference values for future use should your pet become ill.Profile #1: – Healthy pet under 7 years of ageAdditional Cost of $130.00Signature AUTHORIZING Blood WorkSignature DECLINING Blood WorkProfile #2: – Healthy pet over 7 years of age and/or any sick petCats over 10 years: T -4 Test required with blood work at additional cost of $43.06Additional Cost of $165.00Signature AUTHORIZING Blood WorkDOGS: We recommend (especially new cats/kittens) be tsted for FELV/FIV?HW, we can do this test while they are here. Cats in a multi cat hosue and those who venture outdoors are at a greateer risk of the infections.Additional Cost $46.0Signature AUTHORIZINGSignature DECLININGCATS: If not CURRENT on their heartworm prevention/testing, we can do this while they are here. This test should be performed annually, and pets should be on prevention year-round.Additional Cost $45.00Signature AUTHORIZINGSignature DECLININGCAPTCHAΔ
