Download Bloodwork Consent and Information Prior to Surgery/Anesthesia

Dr John Collins &
Dr Kristen Thompson
2800 W Broadway Ave
Sulphur, OK 73086
580-622-3133
www.arbucklevetclinic.com
[email protected]
Bloodwork Consent and Information Prior to Surgery/Anesthesia
Please read carefully.
Our greatest concern is the well-being of your pet. Before anesthetizing an animal, we recommend that
lab work be conducted prior the procedure. This helps the surgeon make the best choice in anesthesia
and treatment for your pet’s needs.
Pre-anesthetic bloodwork provides valuable, insightful knowledge that is specific to your pet. All
conditions and diseases are causes for concern when anesthetizing a pet. Bloodwork provides indicators
regarding the following conditions and/or diseases:
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Dehydration
Kidney or Liver Disease
Anemia
Low platelet counts, (needed to control
bleeding)
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Infection
Diabetes, Cushing’s Disease, Thyroid
Disease
Heartworms, Tick Disease, Leukemia, FIV
Electrolytes
Clients may elect to decline the highly recommended lab work at this time. However, the surgeon and
veterinarian technician will not have all of the information needed to fully assess the pet’s health.
Without the pre-anesthetic bloodwork, we have to assume that the animal is healthy for the procedure,
and your pet may have conditions only detectable through bloodwork.
We understand that surgery and anesthesia can be frightening for both the pet and owner, and this is our
attempt to make the surgery appointment as comfortable as possible.
PLEASE CHECK THE BOX OF THE LABWORK PROCEDURE YOU WANT PREFORMED
Dogs and Cats Under age 7
Pre-Anesthetic Chemistry Profile including CBC and Electrolytes $97.50 _____________
Dogs and Cats 8 years of age and older
Geriatric/Illness Chemistry Profile including CBC and Electrolytes $120_______________
Thyroid Profile $51_______________
Dogs of any age
Heartworm, Ehrilichia, Lyme, Anaplasomis Test $46___________ Fecal exam for worms $18.15____________
Cats of any age
Heartworm, Leukemia Virus, Immunodeficiency Virus $46.25______ Fecal Exam for worms $18.15___________
DECLINED ALL LABWORK______________
DATE:_______________________________________ SIGNED:_________________________________________________________