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Grooming Consent Form

Grooming Consent Form
Owner's Name
Owner's Name
First Name
Last Name

General Grooming

Grooming Services (select all that apply)

Lioncut

Choose from the following. Please note that we cannot accommodate special grooming requests.
**Cats 10 years and older must have had bloodwork within the past year. Add $99.75**
Tail

FLEAS! – If your cat has fleas or other parasites they will be treated at your expense.

*** PLEASE NOTE ***

Geriatric, heavily matted, and wiggly cats are more susceptible to minor nicks from the clippers. Nipples and moles are also prone to scrapes and scratches. These are unfortunate incidences, and we try our best to avoid them, but they do sometimes occur.
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Sedation Consent

PRE-ANESTHETIC EXAM AND BLOOD TESTING

There is always a risk associated with anesthesia, regardless of the procedure to be performed. Most, but not all of these risk factors can be determined by a complete physical examination and pre-anesthetic blood testing. We further reduce these risks by using only top quality anesthetic agents, continuous human and electronic monitoring and the use of IV fluids when appropriate.

SEDATED PROCEDURES

At a minimum, a mini pre-aesthetic blood panel (cost of $80) is required to have been performed on cats 10 years and older within the last year. Ultimately the doctor may decide that a more extensive blood panel is required.

ANESTHETIC COST:

Each anesthetic procedure is designed specifically for your individual cat. The procedures and the agents used vary considerably depending on several variables including the age and medical history of your cat, and on the length and type of procedure being performed.

Resuscitation Orders Agreement

Resuscitation Orders in the Event of an Emergency:

For every cat in our care, we need to know, in advance, what your wishes are in the unforeseen event of an emergency if he or she stops breathing and/or their heart stops beating. CPR has the best chance of being successful if started immediately. We will make every attempt to contact you right away should your cat require resuscitative efforts. Please review and select one option below.

Cardiopulmonary Resuscitation (CPR): All resuscitative efforts including placing a breathing tube, providing chest compressions and IV medications are to be attempted to restore normal heart function and breathing as deemed necessary by the doctor until I can be reached. Should my cat require cardiopulmonary resuscitation (CPR), I request that the doctor(s) pursue such medical care indicated above. I understand that this is a cost in ADDITION to any estimate and agree to pay this fee. The cost of full CPR is typically an additional $300 - $500 or more. Patients who are successfully resuscitated are often critical and will require transfer to a 24-hour facility for at least 24 to 48 hours of intensive care and monitoring following resuscitation.

Do Not Attempt Resuscitation (DNR): Aside from reversing any reversible sedatives or anesthetic drugs that have been administered, no cardiopulmonary resuscitation (CPR) efforts are to be attempted allowing natural death. Be assured that we do everything possible to prevent this from happening and electing DNR does not affect selected treatments.

Please select one of the following

AUTHORIZATION: BY SIGNING BELOW, YOU ARE VERIFYING THAT:

  • I am the owner or agent for the owner of the above-described cat.
  • I understand that during the performance of the ensuing procedures(s), unforeseen conditions may be revealed that necessitate an extension of the ensuing procedure(s) or different procedure(s) than those set forth above; therefore, I hereby authorize the performance of such procedure(s) as are necessary in the exercise of the veterinarian’s professional judgment.