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Purrfurred Pets
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Purrfurred Pets

Surgical Consent Form

  • Owner Info

  • Pet Info

  • Patient History

  • Hold down CTRL to select multiple
  • When was your pet’s last vaccination for:

  • Surgery Request

    Pre-surgical blood work is REQUIRED FOR ALL PATIENTS OVER 5 YEARS OF AGE.
  • If your pet is aggressive or difficult to handle, our staff will let the animal remain in their crate/kennel and will call you. Your two options are: come back and retrieve your animal (within 30 minutes) Come back and assist with the sedating of your pet. Staying with your pet until he/she is anesthetized, and remaining on site until the animal is out of surgery and ready to go home. In either case, a $20.00 aggressive/difficult fee will be charged.
  • If your pet has Fleas or Ticks, they will receive a mandatory dose of Frontline at time of service for a $12 fee.
  • Authorization and Release for Surgical Anesthesia (Pet listed above)
    To my knowledge the animal listed above is in good health. I acknowledge the fact that all pre- and post-operative care is my responsibility. I am the owner and/or responsible parties of the animal listed above and have the authority to execute this consent.
    I hereby also authorize the use of such anesthetics as you deem advisable and the performance of such surgical or therapeutic procedures as you determine necessary. I understand that some risk always exists with anesthesia and/or surgery and that I am encouraged to discuss any concerns about these risks with the attending veterinarian before the procedures are initiated. My signature on this form indicates that any questions I have regarding these issues have been answered to my satisfaction.
    I agree to indemnify and hold harmless Purrfurred Pets and the attending veterinarian from and against all liability arising out of the performance of all procedures referred to above. I understand that trained personnel WILL NOT attend hospitalized animals beyond regular office hours.
  • Date Format: MM slash DD slash YYYY

Contact Us

Reach out to us and we will be happy to answer any questions, discuss your pet’s health and book an appointment.

Get Directions
Address

15601 W Bell Rd, Ste 204
Surprise, Arizona
85374

Contact

Tel:623-474-3877
[email protected]

Hours

Monday to Friday: 8 AM- 5 PM
Saturday: Closed
Sunday: Closed

© 2023 Purrfurred Pets.
Provided by Covetrus | Powered by LifeLearn WebDVM

  • Pet Services
  • Our Team
  • Pet Health
    • Pet Health Checker
    • Pet Health Library
    • How-To Videos
    • Pet News
    • Pet Food Recalls
    • Product Recalls
    • Pet Insurance
  • Forms
    • New Client Information Form
    • Surgical Consent Form
    • Canine Surgery After-Care
    • Feline Surgery After-Care
  • Contact Us
    • Make an Appointment
    • Cancelation Policy
    • Careers
  • Online Pharmacy