Your pet will be undergoing general anesthesia for a surgical procedure today. In order to recognize any underlying abnormalities your pet may have, we recommend having a pre-surgical blood profile run on your animal. This consists of a CBC, which will check blood cells, and an ALT, ALKP, CREA, GLU, TP and BUN, which will check blood glucose, kidney and liver enzymes.
These blood tests will help us to assess the health status of your pet more completely and determine if there are any additional precautions we need to take before the procedure. We do require a blood profile for pets over 5 years old. We hope you understand the need for these important tests and the benefits they can have for your pet’s health.
By signing below, you give North Texas Veterinary Clinic and their veterinarians the right to put your pet under anesthesia for a surgical procedure. You also acknowledge and agree that all information noted on this form is true and correct.
Clinic Use Only
Mass Removal? Confirm and note location:_______________________
Send out biopsy?_____________________
Spay? If applicable, when was patient’s last heat cycle?________________________________
Last time patient ate or drank anything:_____________________________
Any history of drug allergies or anesthetic complications?_________________
Last time patient received any medications:_____________________
Any additional services needed today (AGE, TNT, MC)?__________________________
Afternoon availability for discharge appt:______________________
Pet’s current weight:________________________