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Surgical Admission Form

Procedures requiring anesthesia are always associated with a certain amount of risk, whether the patient is a person or a pet. Like you, we want to minimize that risk as much as possible. This requires a physical exam and pre-anesthetic tests. General anesthesia has become safer in recent years with the advent of newer drugs and better patient monitoring. Some conditions may not, however, be evident on a physical exam. To better ensure your pet’s safety during anesthesia, we advise the following pre-anesthetic tests be performed, even for elective procedures as spays, declaws, castrations, and dentistry’s. If any abnormalities are detected the doctor will contact you and discuss further diagnostics if they are indicated prior to their completion.

We provide IV fluids for all of our surgical patients. IV fluids help maintain proper blood pressure while your pet is anesthetized.

Our pets do not show pain as we do. They do not complain as loudly as we do and they accept the levels of pain that we could not imagine. It has been shown that humans recover better and faster if they are pain free. It is the same for our pets. We advise a post-operative injection and pain medications to be sent home.

My pet has not had any food since last night. I authorize and request the services listed on this form. I have indicated any additional services I would like performed with a check mark or my initials. I understand that if evidence of fleas is found on my pet today, an oral tablet and a dose of topical flea medication will be applied and I will be charged for said medication.

I certify that I own/have assumed financial responsibility for my animal and I do hereby consent and authorize the Ocean City Animal Hospital and its staff to hospitalize this animal, and to administer vaccinations, medication, tests, surgical procedures, anesthetics or treatments that the doctors deem necessary for the health, safety or well-being of the above animal while it is under their care and supervision.

The nature of such service has been described to me to my satisfaction and I realize that no guarantee or warranty can ethically or professionally be made regarding the results or cure.

If my animal should injure her/his self in an escape attempt, refuse food, soil her/his self, become ill or die while in the hospital, I will hold the Ocean City Animal Hospital free of any responsibility and/or liability in the absence of gross negligence.

I further realize that I am responsible for payment for the above procedures and treatments in full at the time the animal is discharged. If I neglect to pick up the animal within five (5) days of written notice that it is ready for release and mailed to the above address, you may assume that the pet is abandoned. You are then authorized to dispose of it as you see fit. Abandonment does not release me of my obligation for the bill.

I further agree that in the case of non-payment, a finance charge will be charged and that any collection fees or attorney fees will be paid by me.