Pet Owner's Signature (required)
Pet Information
Pet Name (required)
Pet Breed (required)
Pet Sex (required) MaleFemale
Pet Age (required)
Pet Owner Contact Information
Name (required)
Phone Number (required)
Email Address (recommended)
Receive Text Updates on Your Pet's Condition? YesNo
Preoperative Blood Tests
Preoperative blood testing can screen for liver and kidney diseases, anemia, and other disorders that may present, and my place my pet at an additional anesthetic risk. For patients < 5-years-old we recommend the pre-operative profile with complete blood count. For the protection of our patients > 5-years-old or pets with pre-existing medical conditions a complete chemistry profile and complete blood count is mandatory.
Select One (recommended) YES, I want pre-surgical blood testing performed.NO, I do not want pre-surgical blood testing performed. I assume all responsibility in the refusal of this testing and my pet is under 5 years of age.
HomeAgain Microchip
The implant fee for a pre-paid, registered microchip is $45.
Select One (recommended) Yes, I want my pet microchipped.No, I don't want my pet microchipped.
