Cat Neuter Form

Name: Northwest Animal Hospital
Address: 2024 S River Rd, Des Plaines, IL, 60018, United States
Telephone: 847-296-3112
Price range: $

Thank you for choosing Northwest Animal Hospital! Please fill out the form as completely and accurately as possible.

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Cat Neuter Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 847-296-3112 for a faster response.

Owner Name *

First

Last

Email *

Pet's Name *

Phone number you can be reached at *

Another person who can make decisions concerning my pet is *

First

Last

Phone number they can be reached at *

Procedure(s) to be performed *

Pre-anesthetic Blood Safety Screen *

I authorize Northwest Animal Hospital to perform pre-anesthetic blood work, at the charge of $102.00-230.00, depending on the level of testing required.
I do not authorize Northwest Animal Hospital to perform pre-anesthetic blood work. I have been informed that there are some conditions that may not be detected without a pre-anesthetic profile.

Our on-site laboratory helps us screen for hidden problems before your pet’s procedure begins. These tests also provide a baseline for monitoring your pet during procedures, and can indicate chemical imbalances that could affect your pet under anesthesia. We require that all pets have a blood panel done within 60 days of the procedure.

Dental Cleanings/Extractions *

I authorize Northwest Animal Hospital to perform extractions which are deemed necessary.
I do not authorize Northwest Animal Hospital to preform necessary extractions. I am aware that there are health risks associated with untreated dental disease.
My pet is not receiving a Dental Cleaning.

I understand that during a dental cleaning my animal’s teeth and gums will be evaluated. Dental extractions may be indicated due to exposed gums, infection, cracks, fractures, etc. We ask that you okay extractions prior to the dental, as to give your pet less time under anesthesia. Our doctors will only pull teeth that are loose, broken, or in need of extractions.

Authorization and Risk Assessment *

I HAVE READ AND FULLY UNDERSTAND THIS SURGERY AND ANESTHESIA CONSENT FORM

I authorize anesthesia/surgery for my pet. The nature and risks of this procedure have been explained to me. I understand that some risks exist with anesthesia and/or surgery and I am encouraged to discuss any concerns associated with risks with my veterinarian before the procedure(s) are started. My signature on this consent form indicates that questions have been answered to my satisfaction.
I authorize, Northwest Animal Hospital to perform any additional diagnostic, treatment or surgical procedure(s) deemed necessary for medical or surgical complications or any unforeseen circumstances. While Northwest Animal Hospital provides anesthesia monitoring and surgical services, I understand the risks and understand that the veterinarians and hospital team will do everything possible to reduce any risks. I will not hold Northwest Animal Hospital, the veterinarians or any team member liable for any complications that may arise. I assume full financial responsibility for this animal.

Cat Neuter Form

Cat Neuter Form

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