Prairie Animal Health Centre of Estevan

(306) 634-7123

108 Breeze St, Estevan, SK S4A 2A1

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Pre-surgical Consent Form

  • Pet Information

  • NameBreedDate of BirthColorSexSurgery Date:
  • Disclaimers: All pets must be fasted from food 12 hours prior to surgery admission and 1 hr for water. All pets found to have external parasites such as fleas will have a mandatory treatment applied and you are responsible for the cost of the treatment and decontamination. Prairie Animal Health Centre recommends all pets be vaccinated against Rabies; it is not mandatory but encouraged as it is a risk in our area to all pets regardless of lifestyle. Consent: Please select one of the following options for each question, leaving it blank is not an option. If unsure a staff member will discuss your options further.
  • If yes, bring proof of vaccination on the day of surgery. For pets vaccinated at PAHC proof of vaccination is not required.
  • Pre-Anesthetic bloodwork is offered to all surgery patients prior to surgery. Pre-anesthetic bloodwork helps to determine the health status of your pet during anesthesia and provides a base line normal for the future. Bloodwork helps to determine if your pet has underlying conditions such as infection, anemia, inflammation, dehydration, underlying organ impairment such as kidney and liver insufficiencies that prevent or delay the body’s processing of anesthetic drugs. Bloodwork can help to reduce anesthetic risk by identifying health issues prior to the anesthesia and allow the staff and doctors to make the necessary adjustments to your pet’s anesthesia protocols to make it safer. Bloodwork does have an increased cost for pet owners and is not mandatory for elective procedures.
  • Your pet will be examined for umbilical hernias, retained deciduous teeth, hind dewclaws, and presence of testicles in males and signs of heat in females prior to surgery. Clients will be notified of abnormal exam findings prior to their treatment. Dogs in heat may have their procedure postponed to reduce their surgical complication risk. Pets that are mature or obese and female giant breed will have an additional fee applied for the increased surgery time and additional suture material.

  • Important Please Read Carefully

    The safety of anesthesia has increased substantially with safer anesthetic drugs and increased knowledge of the effect of anesthetic drugs on different body systems. Despite these advances, general anesthesia is never trivial or routine and has risks such as death. I authorize the use of such anesthetics and medications as determined to be necessary for the above mentioned procedures. The risks associated with anesthesia and surgery has been explained to me. I understand that results cannot be guaranteed. A surgical risk also exists and varies with each procedure. Those risks include but are not limited to bleeding, pre-mature suture rupture, infection and swelling. The risk associated with surgery has been explained to me for the procedure my animal is having. I have read and understand this authorization and consent.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

Testimonials

I had to rush in after hours with a very nervous farm dog. The vet was already there when we arrived. She was so kind and patient with us. Such a... read more

Lisa M.

Our Sprocket at 15 years has been an exclusive customer of this clinic and we have had the best care! All staff are very knowledgeable and... read more

Danielle E.

They always provide the best care and follow up. Our cat was here over night almost a whole week and they called at least twice a day to update us on... read more

Lora Z.

Lisa M.

I had to rush in after hours with a very nervous farm dog. The vet was already there when we arrived. She was so kind and patient with us. Such a gentle demeanor. I dont remember her name unfortunately but Callie and I are very thankful for her.

Danielle E.

Our Sprocket at 15 years has been an exclusive customer of this clinic and we have had the best care! All staff are very knowledgeable and professional. Glad to have local care of such high quality.

Lora Z.

They always provide the best care and follow up. Our cat was here over night almost a whole week and they called at least twice a day to update us on her. Very professional and caring people

Our Location

Prairie Animal Health Centre of Estevan

108 Breeze St
Estevan, SK S4A 2A1

(306) 634-7123

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