Greys and Strays, LLC
Alysia Deaven, VMD
717-304-9987
Spay/Neuter/Vaccination Clinic Liability Release Form: INSIDE OR IN/OUT FELINE
I, the undersigned owner or owner’s agent of the pet identified below, hereby consent and authorize Greys and Strays and its staff
to receive, transport, and have spayed or neutered the following animal(s). I will not hold liable or responsible Greys and Strays and
staff for any and all claims, liabilities, losses, damages, charges, fees and expenses of any nature and character which I or my
animal(s) may sustain or incur by handling, attending, treating, vaccinating, spaying and neutering. Greys and Strays is to use all
reasonable precautions against injury, escape or death of my pet. I understand that all anesthesia and surgery involves some risk to
my pet (like unknown internal abnormalities, medication/sedative allergies, surgical complications, internal bleeding, shock,
incision dehiscence, post surgical infection and death) and that I am encouraged to discuss concerns I have before the procedure(s)
is/are initiated and agree to hold Greys and Strays harmless, in the absence of negligence, in connection with these procedures.
While I accept that all procedures will be performed to the best of the abilities of the staff at Greys and Strays, LLC, I understand
that vet medicine is not an exact science and no guarantees have been made regarding the outcome of this/these procedures and no
guarantee of successful treatment has been made. In the event that complications arise and I cannot be immediately contacted at the
number listed below, Greys and Strays is directed to make the decision deemed best for my pet. There is an increased risk of
infectious disease development in unvaccinated cats and some feral cat colonies that are carrying infections that are
expressed during stress, like surgery and vaccinations. I understand that I assume all responsibility for all risks. All cats should
continue to receive healthcare from a veterinarian throughout life. Greys and Strays reserves the right to hold or keep any animal
for health, safety or treatment reasons in order to protect that animal. I agree to pay for services rendered. I have read and
understand the nature of the above procedures and accept the specific terms and conditions set forth herein.
Print Name__________________________________Phone (
)______________________
Address ____________________________________ City________________Zip__________
Pet/Stray/Feral Name__________________________Circle: M or F; MC or FS
WT:________
Breed__________ Age/Birthday_______ Color__________ EMAIL:_________________________
PLEASE CIRCLE DESIRED SERVICES
SPAY (female) $45 ( $5-20 charge for pregnancy, complications, etc)
NEUTER (male)
Post-op pain med: Meloxicam injection with SQ fluids $10.00: RECOMMENDED!!!!!
$35
VACCINATIONS: We use Merial vaccines
PUREVAX RABIES $15 Required at 12-16 wks of age; Boost yearly
PUREVAX DISTEMPER/FVRCP $10 (Panleukopenia, Rhinotracheitis, Calici) Kittens: vaccinate every 4
weeks from 8wks til 16 wks of age; over 16wks: need 2 vaccs; boost all vaccs in 1 yr, then every 3 yrs: CORE!!
PUREVAX FELINE LEUKEMIA: $28.00 Need 2 spaced 2-4 wks apart; MUST HAVE A NEGATIVE
LEUKEMIA TEST BEFORE VACCINATION!!! RECOMMENDED FOR ALL KITTENS!!!
*** WE SUGGEST VACCINATING BEFORE SURGERY TO MINIMIZE STRESS AND ILLNESS***
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FLEA MEDS: TREAT ONCE A MONTH
FRONTLINE PLUS: $10-fleas,ticks,lice ; COMFORTIS-oral pill for fleas-cost is wt based-kills
fleas in 30 mins-give with food; REVOLUTION: $10-fleas,worms,ear mites, mange; SERESTO COLLAR
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DEWORMERS
1: PYRANTEL PAMOATE (Hooks/Rounds): $3 DEWORM EVERY 2-4 WEEKS FOR AT LEAST 4 TIMES,
THEN ONCE A MONTH OR EVERY 3-6 MONTHS DEPENDING ON LIFESTYLE
2: DRONTAL: cost is weight based; REPEAT IN 2.5 WKS; must be 4wks and 1.5# to administer
3: PROFENDER: TOPICAL FOR HOOKS, ROUNDS, TAPES***ONLY RETREAT IN 30 DAYS IF REINFECTED ***
$10 (2.5-5#); $15 (5.55-11#); $15 (11.1-17.6#) MUST BE 8 WKS AND 2.2#
FECAL CENTRIFUGE EXAM: $20.00
GIARDIA TEST: $25.00
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MICROCHIP: $35
Ear Tip
FeLV/FIV/HW TEST: $40
NAILS
PRE-OP BLOODWORK SCREEN TO CHECK KIDNEY AND LIVER FUNCTION
We can run tests to confirm that your pet’s organs are functioning properly to eliminate anesthesia risks. We may also detect
hidden health conditions that we could treat early and provide baseline levels for the future. If preanesthetic results are within
normal limits, anesthetic risk is minimized. If results are not normal, we may opt to not do the surgery. COST is $40.00
PLEASE CIRCLE: I DO / I DO NOT AUTHORIZE PRE-OP BLOOD SCREENING
__________________________________________________________________
SIGNATURE
DATE
I HAVE READ AND UNDERSTAND DISCHARGE INSTRUCTIONS:________________
INITIALS