Anaesthesia, Surgery, Dental or Procedure Admission Form

General Details

Your name:

Your email:

Best phone contact on the day (mobile pref.):

Your pet's name:

Your pet's breed:

Your regular vet:
Turramurra VetOther

Procedure Details

1a. What procedure is your pet being admitted for (if unsure, please tick other):
desexingdentallump removalother

1b. If other, please detail the surgical procedure

1c. Please list any other requested treatments ie nail trim, anal glands, tick/worming treatment

2a. Does your pet have any drug or food allergies:
NoYes

2b. If yes, please detail food or drug allergies

3a. Is your pet currently receiving medication:
NoYes

3b. If yes, please list medications

4a. Do you have pet insurance:
NoYes

4b. If yes, please list your insurer

Feeding Before Scheduled Procedure

Please remove food at 9pm the night before the procedure, but allow access to water up until leaving for Turramurra Vet in the morning.

NOTE: Rabbits and guinea pigs should be fed until admission, and some food brought to the hospital.

Pre-anaesthetic Blood Work

Pre-anaesthetic blood testing is highly recommended prior to anaesthetising your pet. By testing blood chemistries, we can better evaluate the status of your pet's major organs. The function of the liver and kidneys is especially important because these organs process and rid the body of medications used during anaesthesia. Results of these tests will determine your pet's readiness for surgery and allow us to optimise the anaesthetic plan. The cost of this important testing is $189.

5. Would you like us to proceed with a Pre-anaesthetic blood test:
NoYes

Treatment Plan Estimate

6. Have you been given an estimate of the treatment plan costs?:
Not YetYes

PLEASE NOTE: Estimates include treatment from the time the animal arrives at the hospital until the anticipated day of discharge. However, they DO NOT include the initial visit nor any follow up treatment after leaving the hospital, or any additional hospitalisation charges. The estimate of costs of treatment is based upon the best information currently available, and is not a guarantee of final charges.

IMPORTANT: Please ensure you are able to be contacted while your pet is in hospital so we can keep you informed of any treatment updates.

FULL PAYMENT IS DUE AT DISCHARGE FROM HOSPITAL

Complications in Anaesthesia and Surgery

There is a small risk/chance of complications associated with performing any anaesthetic procedure in all species. This can range from wound breakdown or infection, to suture and medication reactions, post anaesthesia complications, or in extremely rare cases, unexplained anaesthetic death. Turramurra Veterinary Hospital uses the most up to date medications and anaesthetic monitoring equipment to minimise any risk to your pet.

Consent to Perform Veterinary Procedures

I, being the owner of the above pet, and over the age of eighteen (18) years hereby give my consent for the listed procedures to be performed at Turramurra Veterinary Hospital. I understand the treatment and services to be performed, the nature of which have been described to my satisfaction. I understand that all anaesthetic techniques and surgical procedures involve a managed risk and the attending Veterinary Surgeon has discussed this with me. I understand that payment for the procedure is due in full upon discharge from hospital.

I give digital consent to Turramurra Veterinary Hospital performing the above procedure on my pet.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.