Surgical Consent Form

    PLEASE READ THE FOLLOWING STATEMENT
    I hereby authorize Reynolda Veterinary Hospital to perform such diagnostics, treatment, and surgical procedures as described above.  In the event any unforeseen condition arises, I realize that the staff of RVH will try to reach me by phone.  In the event I cannot be reached, I realize the RVH staff will use their best medical and reasonable judgment to implement procedures in addition to or different from those originally planned. I further request and authorize you to do whatever is deemed necessary for the best treatment of my pet.
    The nature of the procedures, possible alternative methods of treatment, the risks involved, and the complications have been fully explained to me. I acknowledge that no guarantee or assurance has been made as to the results that may be obtained..  I authorize and direct you to provide such services for the patient as is deemed reasonable and necessary, including but not limited to the administration of anesthesia, and the performance of services involving pathology and radiology, and hereby consent thereto.  I understand that no staff will be present overnight to attend to my pet, if my pet needs overnight care they will be referred to Carolina Veterinary Specialists (charges from Carolina Veterinary Specialist will apply).
    By typing your name and date into the box below you are consenting the the above mentioned surgical procedure as well as any additional services that you have chosen.

Importance of the additional anesthetic procedures

​Our greatest concern is for the health and well being of your pet .  A complete pre-anesthetic/pre-surgical physical exam will be performed.    

The following options are recommended for your pet's well being.  These charges are additional.

PRE-SURGICAL LABORATORY BLOOD TESTS (Cost range up to $112 based on age)
(These tests are priced at a reduced rate for surgery and are based on age.)
To assure proper organ function, clotting ability, detect anemia or infection, baseline for future reference. The complete blood count (CBC) is a more sensitive indicator of disease than the physical exam. Additionally, white blood cells (WBCs) and platelets can change within hours due to acute infectious diseases. Abnormal glucose levels can increase anesthetic risk and differ markedly between fasted and nonfasted samples, breeds, age and sick and healthy patients.  Evaluating electrolytes, hematocrit and total protein in fasted patients is essential for monitoring during anesthesia, minimizing the risk of arrhythmias and hypotension and facilitating patient recovery. 

INTRAVENOUS CATHETER PLACEMENT & FLUID ADMINISTRATION DURING SURGERY/RECOVERY
Intravenous fluids administered during surgery help maintain normal blood pressure and support the cardiovascular system.  More importantly, a pre-placed intravenous catheter allows for rapid access into the circulatory system of the patient and rapid administration of drugs, should a life-threatening emergency arise.  The fee for intravenous catheter placement, catheter maintenance, and intravenous fluid administration during surgery and recovery is $60.00

PAIN RELIEF/INJECTIBLE MEDICATIONS FOR POST-OPERATIVE RECOVERY PERIOD
Pets cannot always communicate when they hurt.  It can be difficult to know when they are in pain. Since the perception of pain is similar in humans and pets, we assume any condition capable of causing pain in humans is also capable of causing pain in pets.
The fee for injectable post-surgical pain management ranges from $27.00 to $50.00, depending on the amount and number of doses required to optimize your pet's comfort.  Additional take home pain medication is sometimes necessary for an additional charge.  For declaw procedures, we require pain medication both for after surgery and to take home. This will be approximately $80.00 to $100.00 in addition to the declaw price.

COMPREHENSIVE DENTAL EXAM WITH FULL ORAL RADIOGRAPHS 
Dental radiographs allow for us to see what is happening beneath the gum line, this is where periodontal disease can be assessed most accurately.  The cost for this is $141.00

LASER THERAPY
We now have the ability to provide your pet with the new laser therapy option.  Laser therapy is intended to speed the recovery at the cellular level.   It is used to enhance cell reproduction and therefore decrease the amount of recovery time needed.  The cost for the post surgical treatment is $25.00.

MICROCHIPPING
Wouldn’t it be reassuring if  your pet could be permanently identified for life, even without a collar?  Now it’s possible, with microchipping.  Microchipping is a safe, simple and permanent form of pet identification designed to quickly identify lost puppies and kittens, as well as older pets who may wander away from home.  No bigger than a grain of rice, the microchip is a small, sterile transponder that contains a unique ID code capable of being read by a scanner.  Animal shelters and veterinarians nationwide are equipped with these scanners.  The price for the microchip is discounted 20% during anesthetic procedures to $48.00.
          
The staff of Reynolda Veterinary Hospital strives to offer your pet the most advanced and compassionate care.  Your decisions pertaining to the level of care you desire for your pet are of the utmost importance to us.  We are available at any time to answer any questions you may have concerning your pet’s care.