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  • Dental Treatment Release Form

    Complete this form prior to drop off for a dental or oral surgical procedure.
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  • All of these services are included as part of your pet's care when they visit us for dental cleaning and/or dental treatment.

    1. Physical exam
    2. Thorough oral evaluation
    3. Intravenous fluids (IV catheter and fluids)
    4. Human-grade anesthetics including gas anesthetic
    5. Anesthesia monitoring (ECG, BP, HR, RR, Temperature, SpO2, apnea monitor)
    6. Dental scaling and polishing, followed by flouride and Oravet treatment
    7. Whole mouth dental x-rays
    8. Dental Charting
    9. Hospitalization for the day
  • Select the options listed below to customize your pet's experience while they are with us for their dental visit.  Please let us know if you have any questions.

  • IV fluids and Dental X-rays (radiographs)

          Included with all dental cleaning procedures.

     

  • By entering my name below, I certify that I own the above animal, or am responsible for it, and I herby consent and authorize the Sherwood Family Pet Clinic veterinarians and staff to medicate, treat, and hospitalize my animal.  I have been advised as to the nature of the procedures or operations and the risks involved and have had the opportunity to have any questions answered.  I acknowledge that no assurance or guarantee has been made except reasonable precautions against injury or escape, and that risks and probabilities of complications exist in any surgery, anesthesia, or medical treatment.  I understand overnight care at SFPC is unsupervised.  I certify that I am the responsible party for the above animal and assume all financial responsibility. 

    Clinic Policy: If your pet is unvaccinated or overdue for vaccines, we will immunize or reschedule the appointment to prevent intra-hospital infection. If your pet cannot receive vaccinations due to health reasons, your pet will be housed in our isolation ward for their protection and for the protection of other pets in the hospital. There will be a charge for any pet housed in isolation.
    If fleas or flea droppings are found on your pet, we will treat with an appropriate flea medication. There will be a charge for administered flea medications.

    Payment in full is due at the time of patient discharge.

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