Declaw Consent Form

Pet Name:*

As the owner, I understand that during the performance of the foregoing procedure(s) or operation(s), unforeseen conditions or problems may become evident that necessitate an extension of the foregoing procedure(s) or operation(s). Therefore, I hereby consent to and authorize the performance of such procedure(s) or operation(s) as are necessary in the exercise of the veterinarian’s professional judgment. I also authorize the use of appropriate anesthetics and other medications and I understand that hospital personnel will be employed as deemed appropriate by the veterinarian. I have been advised about the nature of the procedure(s) or operation(s) and the risks involved. I realize that results cannot be guaranteed.

Please select all that you agree to:*

Food has been withheld since 9:00 PM last night and water has been withheld since 7:00 AM today.

I understand that my pet may have its leg shaved so that a catheter can be set so that fluids may be given during the anesthetic procedure. This keeps the blood pressure up and blood flowing to the vital organs, replenishes fluids, and also provides an injection port for emergency drugs should they be needed.

For the safety of all our pets as well as our personnel, all pets must be current on rabies vaccinations and dogs must be up to date on Bordatella (“kennel cough”) vaccinations. If they are not, these will be administered while they are hospitalized.

To the best of your knowledge, has your pet ever had seizures or convulsions?*

Yes

No

Other than flea and/or heartworm preventative, is your pet on any medication?*

Yes

No

If yes, please list medications and how much/how often they are given.

Pre-Anesthetic Blood Testing & EKG Consent
Our greatest concern is the well-being of your pet. A pre-anesthetic blood profile and EKG are needed to evaluate health issues that could increase anesthetic risks and alert the doctor to the presence of dehydration, anemia, infection, diabetes, and/or heart/kidney/liver disease that could complicate the procedure. In addition to assessing anesthetic risks, these tests will also serve as a baseline for future evaluations. The cost for the complete blood count, blood chemistry profile, and EKG is $191.*

I accept the pre-anesthetic blood and EKG work required by the veterinarian.

Microchip Placement
We suggest that you consider protecting your emotional and economic investment. A very effective means of increasing your chances of finding your pet should it ever become lost or stolen is by the implantation of a HomeAgain microchip. Many animal control facilities, veterinarians, and humane societies have scanners that could be used to identify your pet should it be taken to one of these facilities. Our staff can implant one today if you desire.

The cost for implantation is $44. This fee includes the initial setup fee (an $11.00 value) as well as the first year’s membership and first year’s inclusion in the nationwide database*

I accept HomeAgain microchip implantation for permanent identification.

I decline HomeAgain microchip implantation for permanent identification.