Spay Today PO Box 340 Charles Town, WV 25414 Blue Ridge Veterinary Associates Purcellville, VA Dogs and Cat form **You pay Spay Today at the time of setting an appointment; this may be done by mail, in person, or over the phone with a credit card. We are not able to take payment over the internet. Administration fee: (required with each payment) ……………………..…………..$5 **client may possibly be charged for an e-collar and/or antibiotics and pain meds– if the doctor feels it is needed. This is separate from the ST pricing and will have to be paid out of pocket. Patients typically go home the same night, however if the vet wants to keep the pet overnight due to a slow recovery or other extenuating circumstances, the owner must pay the additional fee. (Please circle procedure(s) requesting) Cats: must be 3 mo + Exam Fee (required for all visits) Female Spay ** Rabies (required) Fecal Test Feline Leuk Vaccination (each) $13.50 $88.50 $23.25 $25.75 $28.75 Male Neuter Feline Distemper (each) (required) Leuk/FIV/Heartworm Test ***Sick visit (reg. hours) Dogs: must be 3 mo + Exam Fee (required for all visits) Female Spay (under 20 lbs) Female Spay (21 – 40 lbs) Female Spay (41 - 60 lbs) Female Spay (61 – 80 lbs) Female Spay (81 - 100 lbs) Female Spay (101 lbs +) $13.50 $114 $119 $130 $144 $162 $245 Male Neuter (under 20 lbs) Male Neuter (21 – 40 lbs) Male Neuter (41 - 60 lbs) Male Neuter (61 – 80 lbs) Male Neuter (81 - 100 lbs) Male Neuter (101 lbs +) Distemper (DHPPCV) EACH $68.50 $29.75 $39.75 $38.50 ***Pets must be spayed or neutered to qualify for sick visit. $91 $93 $95 $98 $117 $166 $31.95 (required) (required) Rabies Bordetella (each) Leptospira Vaccination Lyme Vaccination Pre-surgical bloodwork recommended * In heat, pregnant, obese, cryptorchid = additional $23.25 $16.95 $17.00 $24.75 $49.75 Heartworm/Lyme/Ehrlichia Test*** Fecal Test*** CIV Microchip with registration Urinalysis(in house) $39.75 $25.75 $17.25 $36 $39.75 charge payable to BRVA * * Other procedures offered at a discount, please call Spay Today for more information . ***Don’t need office exam if client is ONLY getting heartworm test and/or fecal test. Required Information: Name: ____________________________________________________________________________ Address: ___________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Home Phone: _____________________________________ Required Pet Information: Work Phone: ____________________________________________ Name: ____________________________________________ Age: ________________________ Breed (Dog): _______________________________________ Color: _________________________________________________ Breed (Cat) Hair Length (Circle one): Short - Medium – Long Weight (Dog only):____________ 2/1/15 My pet is up-to-date on rabies (Must provide certificate at drop off). My pet is up-to-date on distemper (Must provide certificate at drop off). Payment information: Make payable to: Spay Today Total of procedure(s) requested: $__________ One time Administrative Fee: $ + 5.00 Total amount due: $ _________ Drivers License Number (if paying by check) State_____#_________________ Blue Ridge Veterinary Associates 120 East Cornwell Lane Purcellville, VA 20132 Ph (540) 338-7387 www.BlueRidgeVets.com Pre-Surgery Instructions No food after midnight the night before surgery. Do not withhold water prior to surgery. Vouchers, if applicable, must accompany pet at time of drop off. NO EXCEPTIONS UNLESS A Spay Today representative emails the voucher directly to BRVA. Drop off is between 7:00am and 9am. Cats must be in carriers and dogs must be on a leash. BRVA is recommending no more than 3 vaccinations per visit. Doctors discretion as to how many on a small dog. They will need office visit with visit. If cat or dog is pregnant, in heat, recently whelped, or if a dog weighs more than voucher states, owner must pay the difference at BRVA at time pet is released. Additional fees apply for cryptorchid males and obese patients as well. The charge is usually $85 for rescue patients ($250 regular price). This fee can be paid directly to BRVA, Animals over 8 yrs of age BRVA strongly recommends pre-surgical bloodwork. For your convenience, pets may be dropped off between 7pm and 9pm the evening before surgery for half-of-a-technician inpatient care charge. This fee can be paid directly to BRVA, and does not need to be included on a voucher. Animals must be current on Rabies and Distemper vaccines to be admitted overnight in our treatment/recovery area, or vaccines will be administered. Bordetella is strongly recommended. Owner must present voucher for all vaccines, or will be charged full price for them. Pets should be picked between 7pm and 9pm. Rescue surgeries are performed early in the day, so pets are likely to be recovered enough for release by 6pm. However, please call to be sure pet is ready to be released if you haven’t already heard a progress report from our patient advocate team. Records will be ready by 6pm, however, leaving pet in-hospital until later will allow Veterinarian to observe for a more optimum time. If a patient stays overnight due to slow recovery or owner chooses to keep patient for observation and/or confinement, a technician inpatient charge, currently $32.50, will apply for each night. Three days post-surgery, a fully vaccinated animal can usually be released from technician care to boarding; lower rates may apply. 2/1/15 Check vouchers for expiration dates. They are not replaceable, treat vouchers as you would cash. If rabies vaccine is not purchased from BRVA, a valid rabies certificate must be presented to Veterinarian at time of hospitalization or else another vaccine must be given by BRVA and billed to owner. Double-vaccination will not be harmful to pet, but is an added expense not necessary if owner complies. Pets’ nails will be trimmed while under sedation at no charge to owner. If this service is not desired, please ask check-in receptionist to note file accordingly. A new-client information sheet will be presented for owners of pets to fill out and sign. Please ask them to allow a few minutes at drop-off time to complete. E-Collars (to prevent licking/chewing), antibiotics, and/or pain injections may be prescribed post-surgery, and are not included in cost. Rescue pricing may apply, payable to BRVA. BRVA will spay pigs. Pigs must be weaned before scheduling surgery. A special voucher may be purchased at the following cost: Spay Exam fee Under 25 lbs 25.1 lbs & over 2/1/15 $13.00 $252.50 $342.50 Neuter Exam fee Under 25 lbs 25.1 lbs & over $13.00 $222.50 $252.50