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Anesthesia Permission Form - Jackson Veterinary Clinic

Anesthesia Permission Form - Jackson Veterinary Clinic 2025

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The document is a Medical and Surgical Consent Form from Jackson Veterinary Clinic, outlining recommended pre-anesthetic blood work, pain management options, laser therapy, and vaccination requirements for pets undergoing surgery. It emphasizes the importance of these measures to ensure the safety and comfort of the pet during and after surgical procedures. The form also includes sections for client consent and acknowledgment of potential risks associated with anesthesia and surgery.

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Click ‘Get Form’ to open the Anesthesia Permission Form in the editor.
Begin by entering your name and your pet's name in the designated fields at the top of the form. This ensures that all information is correctly attributed.
Review the section on Pre-Anesthetic Blood Work. Check the appropriate box based on whether you wish to proceed with the recommended blood work for healthy or senior/sick pets.
In the Pain Medication section, indicate if you would like your pet to receive a Butorphanol injection after surgery by checking the corresponding box.
For Laser Therapy, select whether you want this service by checking the appropriate box. This option can enhance your pet's recovery post-surgery.
Ensure that your pet’s vaccinations are current. If they need updating, check the box to authorize this action.
Finally, read through the consent statement carefully. Once you understand and agree, sign and provide your phone number at the bottom of the form.

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2014	4.7 Satisfied (61 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How much does anesthesia cost at the vet?

Your veterinarian may administer anesthesia or sedate your dog to help them relax during an exam or painful or uncomfortable procedure. It can cost between $50 to $220 to sedate a dog.

How to find a good veterinarian?

Where to look for a veterinarian Ask a friend. Animal-owning friends are generally good sources of information. Breed clubs and special interest groups. Directories and the Internet. Your current veterinarian. Office hours. Professional staff. Fees and payment. Services.

How much does it cost for a dog to be put under anesthesia?

Prices Cat General Anaesthetic150.00 Dog General Anaesthetic

How much is veterinary anesthesia?

The cost of anesthesia for dogs can fall anywhere between $90 and $1,200 depending on your pets size and health condition, as well as the type of procedure they undergo. Some vets charge by the hour or half-hour, whereas other procedures are priced by weight because larger dogs need a larger dose of sedative drugs.

Who may have access to veterinary medical records without the consent of the client?

Records are considered confidential and owned by the practice, with client consent required for release except in legal or public health situations. Both electronic and paper records are accepted as long as theyre accessible and legible.