Please read carefully and fill out the form completely.
AUTHORIZATION FOR PROFESSIONAL SERVICES
I hereby authorize the following surgical procedure to be performed by Doctor Connelly:
The nature of such service has been described to me to my satisfaction and I realize that no guarantee or warranty can ethically or professionally be made regarding the results or cure. I also understand that I assume financial responsibility for all services rendered, and that payment is due upon dismissal of my pet.
Before putting your pet under anesthesia, we will perform a full physical exam. However, many conditions such as liver, kidney, or blood disorders cannot be detected unless a blood test is performed. This testing is mandatory for all pets prior to any surgical procedures. For pets under 1 year of age the cost is $51.00. More comprehensive testing is required for pets over 1 year of age, and the cost is $74.00. Our lab is fully equipped to give results immediately, before any anesthesia or surgery is performed. By signing below you consent to these diagnostics for your pet.
POST SURGERY PAIN MANAGEMENT
POST SURGERY INCISION CARE- CHECK ALL THAT APPLY
(Does not apply to Teeth Cleanings)
*Any pets found to have fleas will be treated at owner’s expense.