surgical and anesthetic release form

Please initial your choices of treatment today:

Dr. call in prescription for pain meds (prices range from $10-$30)

Additional Pain Injection if needed


Bordetella (Kennel Cough)


Distemper/Parvo Vaccine






Pyrantel/strongid (De-wormer for roundworms)


Praziquantel (De-wormer for tapeworms)


Heartworm Test


Sentinel Spectrum(Monthly Heartworm Preventive)




Proheart6 (6 mo heartworm prevention inj)




We HIGHLY recommend the following Pre-Anesthetic Blood Work:

“Mini Panel” - ($94.40) “PCV/TP” - ($46.20)​​​​​​​
These tests check for abnormalities in kidney function, blood sugar, liver function, and protein. Abnormalities can greatly increase your pet's anesthetic risk.

“Full Wellness Panel” (Diagnostic Health Panel, CBC, T4) - ($306.95)​​​​​​​
Covers all of the “Mini Panel” plus liver, thyroid, red and white blood cells and pancreas functions

Cardiac Screen (ECG) (Cardio Pet Telemedicine) ($58)
Screens for early signs of heart disease.

For pets 3 years of age and older: I.V. fluid support will be required. The fee for this service will be $45.00. An additional $55-$85 may be charged if your dog is pregnant or in heat.​​​​​​​

DNR- “Do Not Resuscitate” In case of an arrest, no cardiopulmonary resuscitation will be performed.

CPCR- “Cardiopulmonary Cerebral Resuscitation” Depending on the medications and procedures or treatments required, costs for CPCR could add $160 to $550 or even more to your current costs.

I understand that while the anesthetic used in the hospital is one of the safest in Veterinary medicine, NO anesthesia is without medical risks. No guarantee can be made legally or ethically on the outcome of any procedure performed.

Our hospital is NOT staffed 24 hours per day