Cat's Name_______________________________    Date __________________

I hereby authorize the staff of Westonka Animal Hospital to perform the following indicated procedure(s):

   Spay     Neuter      Front Declaw     Rear Declaw      All 4 Paws Declaw      Only Extra Toe(s) Declaw

Because your cat will be under anesthesia today, we recommend the following while he/she is asleep:

Westonka Animal Hospital is proud and excited to be the #1 veterinary implanter of Home Again Lost Pet Retrieval systems in the state of MN. We encourage implantation while your cat is under anesthesia, which eliminates any pain associated with implantation. The implantation fee is $61.87. Would you like to have your pet implanted with a HOME AGAIN microchip when he/she is under anesthesia? Please circle your answer: YES    NO To learn more about the Home Again Lost Pet Retrieval system on the internet, visit http://www.homeagainid.com

The American Association of Feline Practitioners and the Academy of Feline Medicine recommend that all cats six months of age or older have a blood test for Feline Immunodeficiency Virus (FIV) which is similar to the human virus HIV. FIV is not the same virus as Feline Leukemia Virus. While your pet is under anesthesia, we would like to take the opportunity to take a blood sample so we run the sample in clinic and have the results in a matter of minutes. Two to three percent of all normal, healthy appearing cats in the United States are FIV positive ! The cost of the test is $53.83. Would you like to have your cat blood tested for FIV virus while he/she is under anesthesia?

Note to Spay surgeries: Some conditions require additional surgery time and there will be an additional charge.

The conditions and charges that require extra care are:
• In Heat: $27.13
  
• Overweight Females: $32.40
  
• Females who have nursed young within the last two weeks (have enlarged mammary glands): $61.79
  
• Early Pregnancy: $53.83
  
• Late Pregnancy: $134.10

Note to Declaw surgeries: - before declawing, have you considered using a scratching post or nail trimming as alternatives to declawing? It is our recommendation that cat owners should consider these alternatives and others before declawing. Declawing should be considered to be a last resort to cat owners. Click here if you would like more iformation on alternatives to declawing. Laser surgery will decrease surgical pain experienced by your cat but will not eliminate it. Even if performed with a laser, the declaw procedure should be considered to be an elective, potentially painful surgical procedure.

Your Pets Are Counting On You To Learn About Laser Surgery

Rather than a scalpel blade, a laser uses a highly focused beam of light about the size of this period, à ^. ß to vaporize cells and nerve endings.

Why use laser surgery?

• Less pain - the laser seals nerve endings as it "cuts", so your pet may require less anesthesia during the operation, reducing the risk of complications. Pain after surgery is also reduced.
• Less bleeding: The laser seals small blood vessels during surgery, making the routine procedures virtually "bloodless".
• Less swelling: Laser surgery does not crush, tear, or bruise because there is no physical contact with the tissue.

Surgery Investments $ Do Include:
• preanesthetic blood biochemical health screen which checks the major anesthetic excretory organs
  (if your cat has had a normal preanesthetic biochemical health screen done within the last three months, your cat's surgery will be discounted by $60.40)
• the biochemical health screen report
• safety intravenous catheter for spay and declaw patients
• preanesthetic calming medication
• gas inhalent anesthesia charges
• intraoperative monitoring
• intraoperative intravenous fluids for spay and declaw patients
• post surgical pain medication as needed while in the hospital
• post surgical hospitalization and rest area
• a scheduled discharge visit & written discharge instructions from a certified technician so all of your questions can be answered.

  Pet intestinal parasties are a potential health risk to their owners. For more information about intestinal parasites and their threat to humans, visit the Centers for Disease Control information at http://www.cdc.gov/ncidod/diseases/roundwrm/roundwrm.htm
Often times our clients have a difficult time getting their pet’s fresh stool to the hospital for an Intestinal Parasite Examination. Intestinal parasites, such as roundworms and hookworms are infectious to people and can cause blindness in children. This test should be done yearly in cats that go outdoors and once every two years for indoor cats. If your cat defecates while at the clinic, would you like for us to collect it and test for parasites?
[    ] Yes, please check my pet's stool. (pet & human health investment is $21.12)
[    ] No, I would not like my pet's stool checked for intestinal parasites at this time.

  I have read and agree to the above statements: Signed:_____________________________

To help us serve you better, when completed and signed, please fax us at (952) 472-6367 before surgery day or bring with you on the day of surgery

Back to "Which Consents Forms Do I Need? page.

Our Presurgury Instructions Are Online!
What Should I Do Before Surgery? Do I feed my pet the day of or before surgery? How much water do I offer my pet? The answer to all these questions and more can be found on our online presurgical instructions. Learn what do do before your pet's surgery.

Want To Learn More About The Benefits Of Laser Surgery? Learn how laser surgery can benefit your pet and see actual surgeries being done with the laser at our Laser Surgery Information page or go to http://209.15.29.56/laser.html