Consent To Perform Spay/Neuter

Consent To Perform Spay/Neuter

    Client Information

    Patient Information

    SpayNeuterCryptorchid NeuterHernia RepairDeciduous tooth extractions

    PREANESTHETIC BLOOD TESTING: *Mandatory for all animals over 6 years of age*




    INTRAVENOUS FLUID THERAPY: *Mandatory for all dental procedures, brachycephalic breeds, dogs under 4 kg, cats
    under 2 kg, and animals over 6 years of age*


    With a routine spay or neuter there are other medical conditions that we may come across during our pre-surgical exam. If any of the following are found we will attempt to contact you prior to beginning of surgery:

    Cryptorchid Inguinal $144 | Cryptorchid Abdominal $378-420 | Umbilical Hernia Female $119 | Umbilical Hernia Male $156 | In Heat $70 | Additional Anesthetic $110/30mins

    In the event I cannot be reached, Sage Creek Animal Hospital has permission to proceed with medical care for:

    I hereby authorize and direct the veterinary staff of the Sage Creek Animal Hospital to perform the above-mentioned procedure(s)and additional diagnostic and /or treatments as deemed advisable or necessary for my pet. The nature of the procedure(s) has been fully explained and I understand them.

    I also certify that no guarantees or assurances have been made regarding the results that may be obtained. I understand that some risk of injury or death always exists with anesthesia and/or surgery, and I am encouraged to discuss any concerns I have about those risks with my veterinarian before the procedure is initiated.

    Furthermore, I accept the financial responsibilities for all charges incurred to be settled at the time of discharge unless otherwise arranged with the hospital. I understand that any written or quoted estimates are an approximation and the costs may be more or less than the amounts.

    With my signature I hereby certify that I have read and fully understand the above statements.

    Sage Creek Animal Hospital reserves the right ensure all pets are sent home with an appropriate restraint system such as a carrier or a leash. In the case that the owner cannot provide a carrier or leash, Sage Creek Animal Hospital will supply one for a fee which may or may not be refundable.