Pre-Operative Consent Form

Pre-Operative Consent Form

At Advanced Veterinary Care, we are dedicated to providing high quality surgery and medicine for your special family member.

Medical History:

Does your pet have any allergies to medications? If so, please list all medications. *

Yes No

Specify: *

Does your pet have any known medical conditions such as kidney disease, liver disease, e=heart disease, ect.? *

Yes No

Specify: *

Please list any medications your pet is currently taking or has taken in the last two weeks, including over-the-counter products such as Benadryl. *

Specify: *

I would like a microchip placed in my pet while sedated. The additional cost of $96.00 is not included in surgery fee. *

Yes No

*A complimentary nail trim will be provided with any surgery.*

**Type of pre-anesthetic used for surgery will be done at the doctors' discretion based on the needs of each individual pet.**
**Pre-anesthetic bloodwork will be done to evaluate the health of all small animals prior to surgery at an ADDITIONAL COST. As the owner/agent, I authorize to execute this consent. I understand the risk of both surgery and anesthesia, and authorize consent to perform the following procedure(s):

A complimentary nail trim will be provided with any surgery.

Your pet's health information:

Our online store:

*A complimentary nail trim will be provided with any surgery.*

​​Your pet's health information:

​Our online store:

A complimentary nail trim will be provided with any surgery.

Your pet's health information:

Our online store: