Dental Procedure Instructions
Items to Consider Before Surgery:
 Surgical patients must be dropped off at the hospital between 7:30 am – 8:30am
If there are special circumstances that hinder you from dropping off your pet between
these times please call the hospital prior to the procedure and we can make alternate
arrangements for you and your pet.
 On the day of your pet’s procedure we will need a contact number where we can reach you
at any point during the day.
 The recovery of your pet after surgery is very important.
We would prefer for your pet to stay indoors in a cool, quiet space where you can
watch for any post-surgical complications. If those conditions cannot be met at home
we would be happy to make arrangements for your pet to stay at the hospital
overnight. Please call us and let us know before your surgical appointment if this
would be the best option for your pet.
The NIGHT Before Your Pets Procedure:
 Your pet’s meal should be fed before 9:00 pm
 Review surgical estimate
 Review, Print and Complete Surgical Admitting Form (next page)
The DAY of Surgery:
 Restrict access to water by 7:00am
 Drop your pet off between 7:30am – 8:30am
The Check in Process:
 This will take approximately 10 minutes
 A receptionist will greet you at arrival and escort you into a room to be checked in by
a technician that will be helping with your pet’s procedure.
 The technicians will go over the consent forms with you and answer any questions
you may have about the procedure your pet is having.
Patient Pick Up:
 Once your pet has fully recovered from anesthesia a technician will call you with an
update and a timeframe for your pets discharge
 Receptionist will process your payment for today’s procedures and escort you to a
room.
They will give you a report card to review.
 A technician will go over your medications and answer any questions you have about
the report card you were given.
 Your pets veterinarian will then answer any questions you may have and bring you
your pet
Animal Name: _____________
Last Name: _______________
Date: _____________
Dental Admitting Form
Owner’s Name: ______________________
Contact Phone Number: ___________________
Email: __________________________
Would you like for us to CALL TEXT EMAIL you about your pet today? (Circle One)
1.
Pre-anesthetic Blood Profile $67.33
Our staff members want to ensure you pet’s well being. A veterinarian will perform a
comprehensive physical exam before sedating your pet. However many disorders of the
kidneys, liver, heart and blood cannot be detected without a blood test. We strongly
recommend performing a presurgical screening before sedating your pet.
Please initial the appropriate box for consent or refusal of this procedure.
Please perform the above prior to anesthesia.
I have elected to refuse this blood work at this time and request that you proceed with
the anesthesia. I understand there is always a potential risk with any anesthetic procedure.
2.
Oravet Application $35.17
Oravet is a professional sealant designed to continue protecting your pet’s teeth by preventing
plaque build-up on the surface of the teeth and gums. The cost of this application is $35.00.
If this is applied you will have to apply the home care product to your pet’s teeth
weekly. The home care product can be purchased from our online store for $29.95.
Please initial the appropriate box for consent or refusal of this procedure.
Please perform the professional Oravet application.
I have elected to refuse the application of Oravet.
3.
Extractions
Sometimes during the process of cleaning the teeth, problems (such as loose or infected teeth
and oral tumors) are found. Since the patient is already under anesthesia, taking care of these
problems is best done at this time. However, we realize the final decision in the treatment of
your pet is yours. In order to serve you best, please initial a box below to let us know
what you would like done in case a problem is identified.
Please perform any additional procedures that are deemed necessary by the doctor. I
understand additional procedures will incur additional costs.
Call me before doing any additional procedures. I realize that if I cannot be reached
my pet will recover from anesthesia. I can be reached at the phone number below between
the hours of 9:00am and 4:00pm.
4. Microchip $ 46.23
Microchips are an implant that can help identify your pet if they get lost. The needles
used to implant this chip are very large and can be implanted at the time of the surgery so that
your pet will not feel the needle at all.
Please perform the above procedure FILL OUT MICROCHIP
REGISTRATION!
I have elected to refuse this procedure
My pet already has a microchip implanted
Pet Owner Release: The staff members of this hospital should use all reasonable precaution
against the injury, escape, or death of my pet. I understand that sedation and anesthesia
involves risk to my pet. I have read this consent form and agree to assume all risks involved
with this procedure.
Signature:_________________________________ Date:____________