PLEASE READ AND INITIAL IN FRONT OF EACH APPLICABLE STATEMENT IN THE SPACE PROVIDED
I, the undersigned, owner or responsible party of the admitted patient, hereby authorize the veterinarians of the Edmonton West Animal Hospital & Spay/Neuter Centre (and whomever they may designate as assistants) to administer such treatments as necessary, and to perform surgical procedures and additional procedures as are therapeutically and/or diagnostically necessary as indicated by findings during medical evaluation. Since general anaesthesia or sedation is required in these surgical procedures, I understand and accept that there are always inherent surgical and/or anesthetic complication risks, including death of the patient.
The following options can help to reduce the risk associated with anaesthesia and maximize patient safety. We highly recommend these measures for every patient having a surgical procedure.
Pre-anaesthetic blood screen: the risk of anaesthesia complication is higher in animals with health problems. We recommend pre-anesthetic blood screen for every patient having a surgical procedure. This checks for subclinical disease (hidden problems) not apparent on physical examination. On the basis of this blood work we can tailor your pet's anesthetic, pain management and recovery protocols to her/his individual needs. The fee for pre-anesthetic blood screen is $120.00.
I confirm below that I authorize pre-anesthetic blood screen or that I don't authorize pre-anesthetic blood screen and accept the inherent associated risks
- Intravenous fluids (Drip): Intravenous (IV) fluids are very important for all procedures that require general anaesthesia.
Administration of IV fluids helps your pet recover more quickly from anaesthesia, maintains blood pressure, and increases circulation during anaesthesia. It also allows rapid administration of drugs should an emergency arise and can save vital time in the rare event of an anaesthetic complication. To place an IV catheter and fluids it is necessary to clip or shave hair from the site (forearm or back legs). The fee for placing an intravenous catheter with fluids is $60.00.
I gree to confirm below that I authorize IV fluids or that I don't authorize IV fluids and accept the inherent associated risks
**PLEASE READ THE FOLLOWING STATEMENT ONLY IF YOU DECLINED INTRAVENOUS FLUIDS:
Intravenous catheter: If you declined IV fluids, we STRONGLY recommend placement of an intravenous catheter. The intravenous catheter allows rapid administration of drugs should an emergency arise and can save vital time in the rare event of an anaesthetic complication.The fee for placing only an intravenous catheter without fluids is $30.00.
I confirm below whether I authorize placement of IV catheter or if I don't authorize placement of IV catheter and accept the inherent associated risks
If you wish to take your pet to a board certified veterinary surgeon, there is only one clinic in Edmonton, Guardian Veterinary Centre, where they work on a referral basis. Select "I would like to be referred" below and inform a staff member if you wish to be referred.
I will confirm below whether I would like to be referred to a board certified surgeon or whether I do not want to be referred
This field is for validation purposes and should be left unchanged.