Drop Off Form

    Please Initial One:
    What vaccinations/tests, if needed, would you like us to give your pet today?
    Dog Vaccinations:

    Cat Vaccinations:

    Microchip

    The microchip is the professional way to identify your pet. A tiny microchip that contains a personal, one - of - a - kind ID number is placed under the skin. The cost of this procedure is $ 43.50 , which includes lifetime registration.

    If your pet is to be anesthetized rest assured that advances in anesthesia and surgery have made routine procedures relatively safe with a low rate of complications. Nevertheless, occasional problems can arise due to pre-existing conditions not evident during routine pre-anesthetic examinations. To avoid these problems, we recommend that all of these cases be screened prior to anesthesia. Our surgeries include the placement of IV catheters, which offer access to a central line while your pet is under sedation. Understand that anytime an animal is anesthetized, there is a risk that an adverse reaction may occur potentially resulting in death.

    IV Fluids:

    This procedure is offered for all pets undergoing anesthesia or sedation. The administration of IV fluids help maintain appropriate blood pressure and keeps your pet hydrated throughout the procedure. The cost is $3 0.00.

    Pre-Anesthetic Blood Screen:

    This procedure is offered for all pets undergoing anesthesia or sedation. If your pet is 7 years or older, this procedure is mandatory. Pre-anesthetic blood screening tests vital organ functions that may be unnoticed, yet have a dramatic impact on how well your pet does under anesthesia. The cost of this procedure is $60.00 .

    Pain Medication:

    We will provide pre/post-operative pain medication and also offer to take home medications for the next few days after surgery. Good pain control helps pets heal faster and more effectively as well as relieve post-surgical discomfort.

    Owner Release: I authorize Animal Medical West to perform the above procedures on my pet; and in the event additional procedures are deemed necessary, an attempt will be made to reach me before proceeding, but if they are unable to reach me, I authorize the veterinarians to perform any necessary procedures. I agree to pay fees for all services rendered at the time the pet is discharged from Animal Medical West, or the service is otherwise terminated. I agree to pay for the reasonable costs of collection, attorney’s fees, and court costs in the event that collection efforts become necessary. I agree that the venue of this action will be in the county where the hospital is located. If I neglect to pick my pet up within 7 days from the date below and do not notify you within that time frame, you may assume that the pet is abandoned and are hereby authorized to dispose of the pet as you deem best or necessary. I further understand and accept that the owners and staff will not be held liable for any injuries, escapes, or death sustained by my dog while under the care of Animal Medical West. Written estimates expire after 30 days and verbal estimates are not binding. Prices and fees are subject to change

    Client Signature: