Mandatory Surgery Drop Off Awareness Form - Veterinary Specialty Center

Owner Information
Last Name*
First Name*
Phone*
Phone type*
- Cell
- Home
Email*
Pet Information
Name*
Which option best describes your pet's mood?*
- extremely friendly, outgoing
- calm, relaxed
- alert, but calm and cooperative
- tense, not relaxed, but cooperative
- very tense, anxious
- extremely stressed or aggressive
Mandatory Consent Items
All "understand" items much be checked in order to proceed with scheduled drop off.
1. When can I expect a call from the surgeon with their findings and recommendations?*
Drop offs are worked into the surgeon’s schedule. Therefore, an exact time cannot be provided. Once your pet is evaluated, the surgeon will contact you to discuss their findings and recommendations.
I understand.
2. If I proceed with recommended surgery, what time will the procedure be performed?*
Procedures are performed throughout the day and into the evening. The starting times are determined based upon multiple factors including case’s urgency, required diagnostics and equipment availability. The first procedure will begin after the surgeon is finished seeing appointments. A member of our staff will notify you when surgery is about to begin and the surgeon will call with an update of your pet’s progress once the procedure is finished. If you have concerns, you may call for an update at any time. On rare occasions, it may be necessary to delay the procedure to the following day, but our team will let you know if this becomes necessary.
I understand.
3. I live or work far away. Can I or should I stay in the area until my pet is evaluated by the surgeon?
The decision to remain close to our hospital is completely up to you. However, we cannot guarantee when you will be called, if same-day surgery will be recommended, or when the surgery will take place.
I understand.
4. Can I meet the surgeon when I drop my pet off?*
The advantage of drop off appointments are that they are worked into the surgeons schedule whenever possible. Typically, the surgeon is in a scheduled appointment or performing a procedure during your drop off time. Therefore, meeting the surgeon during drop off is not possible. If you prefer to meet the surgeon first, please schedule an initial consult instead of a drop off appointment.
I understand.
5. What happens to my pet when I leave?*
Our surgery team will provide your beloved pet with a comfortable space in our pre-operative ward along with around the clock supervision and loving care.
I understand.
6. When can I expect updates on my pet?*
You may call to obtain patient updates at any time. Please understand that veterinary nurses are not able to discuss test results or a diagnosis with you. Veterinary nursing rounds are scheduled between 8:00 and 8:30 in the morning and evenings, so calling during this time may result in the client service team taking a message.
I understand.
7. When can I pick up my pet?*
For elective procedures, discharge appointments may be scheduled same day. For all other procedures, a member of our team will contact you to coordinate a time for discharge.
I understand.
8. Will my pet need to stay overnight?*
Most procedures require an overnight stay in our hospital. However, hospitalization times vary depending on the procedure.
I understand.
9. Will I be able to visit my pet?*
Visiting a pet on the day of an anesthetic procedure is usually not recommended for routine procedures. This allows your pet to remain calm and begin the healing process. After the first night, if you would like to visit, please speak with our team to schedule a visitation time.
I understand.
10. Can I leave my pet’s favorite toy or blanket with them?*
Any personal items such as blankets, towels, toys, collars and leashes should be left at home. Rest assured, we have plenty of towels and blankets to ensure patient comfort. If you wish to leave something with your pet, understand that it may become soiled or lost despite our best efforts to return every item.
I understand.
11. How can I prepare for bringing my pet home?*
After arriving home, you should keep your pet warm and comfortable by providing a soft clean bed, ideally in a quiet and draft-free room at approximately 68° -72° F (20° –22° C). Unless otherwise instructed, your pet should be given ample fresh water. After a few hours, a small amount of food may be given. You should restrict activity by not allowing any jumping as it can cause excessive stretching of the wound.
I understand.
Electronic Signature*
Date*
Month
Day
Year

Owner Information

Pet Information

Mandatory Consent Items