Surgical Consent Form Franklin, WI

Kindly complete the surgical consent form accurately. Your precise information ensures a smooth process and well-informed decisions during your medical procedure.

0Please read all the information listed below. After reading the surgery procedures, please proceed to complete the surgery consent form. This form requires a signature and an emergency phone number.

PRE-SURGICAL EXAM

Our pre-surgical exams are performed prior to your pet’s scheduled surgery date.

At this appointment, an examination of your pet is done, requirements for surgery are updated, and a comprehensive blood work profile is completed.

  • Exam: Ear-to-tail exam addressing any concerns you may have as well as recommendations by our veterinarian
  • Requirements:
    • Canine:
      • Rabies Vaccine
      • DAPP (Distemper vaccine)
      • Bordetella Vaccine
      • Heartworm Test – (pet’s over 1 year of age)
    • Feline:
      • Rabies Vaccine
      • FVRCP (Distemper vaccine)
  •  Comprehensive Blood Work Profile: Blood work is drawn and sent out to our lab for testing, looking for any levels that may affect the safety of anesthesia or the pet’s health. This blood work panel is valid for 30 days.

EVENING PRIOR TO SURGERY

Fasting: Your pet will need to be fasted (withholding food) the night before surgery to ensure an empty stomach. This is important for anesthesia safety.

  • Remove and do not give any food (including treats) no later than 11 pm the night before the procedure.
  • Do not give any food or treats on the morning of the procedure
  • Water is okay to give through the night; however, please withhold water first thing in the morning.

MORNING OF SURGERY

Check-In: Surgery check-in times are scheduled between 8:00 am and 9:00 am.

  • Please arrive at the practice at your scheduled Check-In time
  • Please make sure when bringing in your pet he/she is restrained either by a leash or in a secure carrier
  • Bring alone a small amount of your pet’s regular diet from home
  • Expect to spend 5 -10 minutes during check-in as the staff will complete the following;
    • Review of the signed surgery consent form & emergency contact number
    • Verification of the procedure taking place & current weight check of your pet
    • Address any questions and/or concerns you have regarding the procedure

POST-OP PHONE CALL

After the surgery, as your pet is in recovery, our doctor or surgery assistant will call/text with an update on your pet. At this time, your discharge time will be scheduled/confirmed, and any questions you have may be answered.

DISCHARGE PROCEDURE

A discharge time is scheduled for your pet at the time of check-in or adjusted during the Post-Op update.

  • Please arrive at the practice during your scheduled discharge time
  • Expect to spend 10-15 minutes during discharge as the staff will complete the following:
    • Invoicing and payment of services
    • Home Care Instructions – explained by one of our assistants.
    • Release of your pet
Complete Form

Surgical Consent Form