Arden Animal Hospital

1823 Fulton Avenue
Sacramento, CA 95825

(916)485-5412

www.ardenanimalhospital.com

SAAC Surgery Release Form

Today's Date (required) :
Client's Name (required)

Pet's Name (required)

Planned Procedure: (required)

Important, please read:

Pre-Aneshetic Blood Work

Please select one: (required)

I DO want pre-anesthetic blood work for my pet
I DECLINE want pre-anesthetic blood work for my pet


IV Fluids

Please select one: (required)

I DO want an IV catheter and fluid support for my pet
I DECLINE an IV catheter and fluid support for my pet


Pain Control ($25-75) (required)

Take Home Pain Control
I DECLINE Take Home Pain Control


Elizabethan Collar

Please select one: (required)

I DO want an Elizabethan Collar
I DECLINE an Elizabeth Collar


Microchip Implantation

Please select one: (required)

I DO want to microchip my pet
I DECLINE to microchip my pet


Important, Please read:

I agree to all of the above (required)

Yes
No


Contact Numbers TODAY (required)


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