Date Format: MM slash DD slash YYYY
Does your pet need a pet insurance claim form? Which pet insurance company?
Your pet will be given several sedative and anesthetic drugs during the course of the surgery.
Your pet is scheduled for an anesthetic procedure. To help identify problems before they occur, your pet will have blood tests before anesthesia. Dental bloodwork is included in the dental packages because dental disease increases the risk of kidney disease.
Basic pre-anesthetic bloodtests: Chem10 + Lyte4 blood chemistry panel + CBC (complete blood count) tests included in all dental procedures.
If you would like to have additional bloodtesting performed at this time, please indicate below. If your pet is a senior, or has an existing medical condition, then additional tests to check for age related problems, or monitor progression of disease could be done now.
Intraoral Dental X-rays
Intraoral (inside the mouth) dental x-rays can be done to determine the health of the teeth under the gumline and find hidden
causes of disease and pain. While all dental patients will have an oral examination while under anesthesia, it is not possible
to find or evaluate all types of dental problems visually or with a probe.
I consent that the services listed above be performed by the staff at Acres Animal Hospital. I understand that some risks always exist with anesthesia and surgery, including a risk of death. Should unexpected lifesaving emergency care be required, Acres staff has my permission to provide this treatment for my pet. I agree to pay for these treatments at the time of discharge from the hospital.