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Spay-Neuter Surgery Release Form

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Your pet's spay or neuter today includes:

    • Pre-anesthetic exam
    • Pre-op blood panel that must be submitted to the laboratory within 30 days prior to surgery
    • Intravenous catheter and fluids
    • All anesthesia and surgery costs
    • Pain relief injection and pain medications to go home
    • Plastic e-collar
    • Sterilization tattoo
    • Courtesy nail trim
  • The following items are recommended at an additional fee:

  • Spay-Neuter Surgery Release

    I hereby consent and authorize the doctor to receive, treat, prescribe or operate upon this animal. Hospital policy requires that the total amount of the estimate be paid upon admission to the hospital. Any additional balance due or credit will be required to be paid in full or reimbursed upon release of the hospital. There is no attendant or veterinarian in the hospital after hospital business hours. I have read the foregoing and agree.