Cardiology Pre Check-In Form

Cardiology Pre Check-In Form

Duluth Animal Hospital partners with a board-certified cardiologist to help you manage your pet's heart health. Each echocardiogram is performed only by a board-certified cardiologist using the latest generation of portable cardiac ultrasound equipment. Our goal is to provide you with accurate, timely consultations and give you the detailed recommendations you need to manage heart conditions long term. After the ultrasound report is complete, you will be contacted by one of our doctors to discuss medications and/or treatment options. Your pet's past anesthetic history, breed, pre-existing conditions, and age are all factors used to determine your pet's personalized anesthesia protocol. Cardiopulmonary (heart and respiratory) monitoring equipment is used in all extended procedures as an added precaution. An IV solution will be administered while your pet is under to ensure proper electrolytes and hydration – this will require shaving a section of one or two legs. We will utilize the proper surgical medications to keep your pet comfortable and pain-free. Surgical admission is 7:00-8:00 AM and is designed to reduce your pet’s anxiety and allow for pre-anesthetic examination and testing. Please feel free to contact us at any time for an update on your pet at 770-476-3317.
Please list any medications your pet is currently taking

Policies and Payment

Pet must be dropped off BEFORE 10 AM on the day of ultrasound.

A deposit of $150 is required at the time of scheduling to reserve your appointment. This will be applied to your total at check-out.

Cancellation or rescheduling must be done AT LEAST 24 hours prior to appointment or deposit is forfeit.

In the case of a single ultrasound scheduled on a particular day, cardiologist will apply a travel fee of $125-150 to consultation cost.

Consent to Treatment

I understand that the attending veterinarian will make every effort to contact me regarding treatment in the case of unforeseen emergencies. If unable to contact me, the staff has my permission to proceed with life-sustaining procedures.

While I accept that all procedures will be performed to the best of the abilities of the staff at DAH, I understand that no guarantee or warranty has been made regarding the results that may be achieved. 

I assume full responsibility for any additional expenses incurred as outlined above. Payment is due at the time of service by credit or debit card, CareCredit, or cash. Checks are not accepted.

I have read and fully understand the terms and conditions set forth.

Clear Signature