Download & CompleteOwner's Name(Required)Pet's Name(Required)Procedures to be Performed(Required)The following additional procedures are optional, but highly recommended:Preoperative Blood Work ($145) Yes NoMicrochip ($57) Yes NoSimparica Trio (dogs) or Revolution (cats) Yes NoFecal Exam ($55) Yes NoHeartworm Test for Dogs ($90) Yes NoFeLV/FIV Test for Cats ($105) Yes NoWill you be needing a cone or surgical suit if necessary? Yes NoPhone Number (reachable while pet is under anesthesia)(Required)If you can't be reached, do you want the veterinarian to proceed at his/her own discretion?(Required) Yes NoDoes your pet have any history of SEIZURES?(Required) Yes NoI hereby authorize Finn Hill Animal Hospital to perform such diagnostic, therapeutic and surgical procedures as described above. I realize that there are risks involved with any anesthetic or surgical procedure and that no guarantee or warranty can be made regarding the results or cure. I also authorize the hospital staff, in an emergency situation, to follow through with such procedures as are necessary for the wellbeing of my pet. I understand that I assume financial responsibility for all services rendered.Owner's Signature(Required)Date(Required) MM slash DD slash YYYY CAPTCHAΔ
