Surgery Consent Form

Dear Client,

Your pet is scheduled for an upcoming surgery. To assist all of us in making the surgery day as easy and stress-free as possible, we have put together some simple forms for you to sign and review in advance. In addition to this letter, you will find that the following forms are provided on our website for review:

• Pre-Anesthetic Blood Testing Information Form
• Surgical Information Sheet

Please carefully go over all forms provided. If you have any questions, please feel free to call or email the hospital at 508-966-7605 / info@uppercharlesah.com. On your pet's surgery day, you will be required to review and sign an Authorization/Estimate Form. We will also double-check to ensure we have a phone number where you can be reached during your pet's surgery time.

The night before your pet’s surgery, we ask that you refrain from providing any food or treats after 10:00 pm. Water is fine and may be left out for your pet to consume. If you are currently administering any medications, vitamins, and/or injections, withhold the morning doses unless otherwise instructed by the doctor.

At the time of your pet's scheduled surgery, the doctor will address any remaining questions or concerns you may have and will collect the Authorization Form that you have completed.

Labwork is required for all patients undergoing anesthesia. If it is not done by the day of surgery it will be done in-house the morning of the appointment. If any questions arise, the doctor may contact you at the number on the Authorization Form.

Upon completion of the surgery, the doctor will go over surgical outcome and arrange a time for discharge where staff will go over post-operative care instructions. A written copy of these instructions will be provided. Our staff will process payment at time of discharge.

We know surgery days can induce stress and anxiety. Upper Charles Animal Hospital appreciates the trust you place in us, and we want to make the experience as pleasant as possible for both you and your pet.

We look forward to serving you and your pet on the upcoming surgery day.