[PDF] Feline Spay/Neuter Release Form - Sherwood





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YES please let my doggie play in Daycare! NO

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Welcome to Care Pet Clinic Pet's name: ______ Date of birth/age: ______ Breed: ... This fee is valid for veterinarian approved prescriptions for one ...



Feline Spay/Neuter Release Form - Sherwood

Sherwood Family Pet Clinic – 15970 SW Tualatin-Sherwood Road Sherwood This is recommended for all pets undergoing anesthesia and very strongly.



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Sherwood Family Pet Clinic 15970 SW Tualatin-Sherwood Road Sherwood, OR 97140 (503) 625-5664

Dr. Robert Merrill, Dr. Courtney Woodside, Dr. Mark Schlimgen, Dr. Leticia Wustenberg, Dr. Christina Sitton, Dr. Kaitlyn Rudie

Feline Spay/Neuter Release Form

_ _ _ ____

Procedure(s)____________________________________ Preferred Pick Up Time__________________________________

Best Number Where I Can Be Reached Today_______________________________________________________________

Clinic Policy: If your pet is unvaccinated or overdue for vaccines, we will immunize or reschedule the appointment to prevent intra-hospital

infection. If your pet cannot receive vaccinations due to health reasons, your pet will be housed in our isolation ward for their protection and for the

protection of other pets in the hospital. There will be a charge for any pet housed in isolation.

If fleas or flea droppings are found on your pet, we will treat with an appropriate flea medication. There will be a charge for administered flea

medications.

Pre-Surgical/Anesthetic Blood Screen: This testing will help the veterinarian to identify pre-existing conditions not evident upon the pre-anesthetic

examination which may cause complications involving anesthesia. This is recommended for all pets undergoing anesthesia and very strongly

recommended for pets over 5 years of age. ____My pet has had a blood screening within the past 30 days. $80.82-$205.38 ____ Yes. I would like pre-anesthetic blood screening run on my pet. ____No. I declined pre-anesthetic blood screening on my pet.

IV Fluids: These intravenous fluids help ensure safe anesthesia and help patients have better post-operative recovery. IV fluids are recommended for

all pets undergoing anesthesia and strongly recommended for pets over 5 years of age. ____Yes. I would like IV fluids for my pet. $80.56 ____No. I decline IV fluids for my pet.

Surgical Laser: Most surgical procedures can now be performed with our surgical CO2 Laser unit. Laser surgery has many benefits including less

post-operative pain, less swelling and less bleeding. We recommend using the lNOT RECOMMENDED FOR

NEUTER PROCEDURE.

____Yes. Use the CO2 Laser for my pet. $68.25 ____No. I decline the CO2 Laser for my pet.

Permanent Identification Microchip:

number can be traced back to you so your pet can be reunited should it become lost. We recommend microchips for all pets.

____My pet already has a microchip. $57.22 ____Yes. ____No. Nail Trim: Trimming toenails under anesthesia is easier and less stressful for your pet. ____

Yes. $9.98

____No.

Therapeutic Laser: The therapeutic laser helps relieve pain, decrease inflammation and speed healing of the surgery site. This treatment is given

after surgery and before discharge. ____Yes. $20.67 ____No.

I certify that I own the above animal, or am responsible for it, and I hereby consent and authorize the Sherwood Family Pet Clinic veterinarians and

staff to medicate, treat and hospitalize my animal. I have been advised as to the nature of the procedures or operations and the risks involved and

have had the opportunity to have any questions answered. I acknowledge that no assurance or guarantee has been made except reasonable precautions

against injury or escape and that risks and probabilities of complications exist in any surgery, anesthesia or medical treatment. I certify that I am the

responsible party for the above animal and assume all financial responsibility. PAYMENT IS DUE IN FULL AT TIME OF PATIENT

DISCHARGE.

Signature________________________________________________________________________ Date___________________________________

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