To help us serve you better, when completed and signed, please fax us the entire consent form to (952) 472-6367 before surgery or bring all the printed pages with you on the day of surgery
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Online Surgery Consent Form
Dog Spay/Neuter
Pet's Name_________________________ Date ____________________
I hereby authorize the staff of Westonka Animal Hospital to perform the following indicated procedure(s):
Spay Neuter Other________________________
Westonka Animal Hospital is proud and excited to be a leading implanter of Home Again Lost Pet Retrieval systems in the state of MN.
If your dog is ever lost, most humane societies (including Hennepin County and Wright County), police departments (including Mound and Orono), have the scanners to identify your dog if he/she has an implanted microchip and can have you contacted within minutes.
To eliminate pain associated with implantation of the chip, we encourage implantation while your dog is under anesthesia. The implantation fee and investment into your dog's security is $61.87. This excludes the national registration fee which is additional. We will be sending the application home with you at discharge so you will be mailing in the application and national fee separately from your home.
Would you like to have your dog 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
Note to Spay surgeries: Some conditions require additional surgery time and there will be an additional charge.
The conditions and that require extra care and their charges are:

Your Pets Are Counting On You To Learn About Laser Surgery
Westonka Animal Hospital is one of the first private practices in the country to use a laser surgical unit. This breakthrough technology, which was only available before to research institutions is now available to your pet and will revolutionize veterinary surgery. Why use laser surgery? Laser Surgery Information What does this mean for my pet?
Rather than a scalpel blade, a laser uses a highly focused beam of light about the size of this period, à.ßto vaporize cells and nerve endings.
Total Surgical Investment Without Laser: (assuming normal weight, not lactating, nor in heat)
Spay (scalpel blade)
206.75 Neuter (scalpel blade)
$182.20
Total Surgical Investment With Laser: (assuming normal weight, not lactating, nor in heat)
| Laser Spay | $304.73 |
| Laser Neuter | $231.25 |
Other Surgery (Quote Given By Veterinarian):_____________
[ ] Yes !! I authorize Westonka Animal Hospital to perform laser surgery on my pet.
[ ] No, I do not want Westonka Animal Hospital to perform laser surgery on my pet and I request that traditional scalpel blade surgery be performed on my pet. Note: Laser surgery is mandatory with cancers.
Pet intestinal parasties are a potential health risk to their owners. For more information about intestinal parasites, 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. Roundworm eggs in the soil may remain infectious to people and pets for years. This test should be done yearly in dogs. If your pet defecates while at the clinic, would you like for us to collect it and test for parasites?
[ ] Yes, please check my dog's stool. (your pet & human health investment is $21.12)
[ ] No, I would not like my dog'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 all printed pages to (952) 472-6367 before surgery or bring all printed pages with you on the day of surgery
*We have postsurgical Comfort and Pain Care kits available. This package is sent home with you at the time your dog is discharged so that you can help reduce pain and complications at home. The package includes anti-lick solution to discourage your dog from licking/biting the surgery site, which can lead to infection or even re-suturing. It also includes a relief lotion to relieve itchiness around the surgery site. Finally, it has anti-pain medication to help relieve your dog's discomfort.
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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.
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