Pre-Anesthesia Information Form

It is our goal for each patient to have the safest, most stress-free experience possible. We follow the American Animal Hospital Association’s highest surgical standards for the safety and comfort of your pet. All pets scheduled for general anesthesia receive a preoperative exam and blood panel, which assess basic metabolic function, complete blood count, and liver and kidney values. This testing helps us identify any underlying issues—such as organ dysfunction, blood imbalances, or anemia—that could cause complications. If we detect any problems that may significantly increase the risk of anesthesia or require additional care, we will discuss them with you before proceeding.

Your pet’s past anesthetic history, breed, pre-existing conditions, and age are all considered when creating a personalized anesthesia protocol. Cardiopulmonary (heart and respiratory) monitoring equipment is used during all extended procedures as an added precaution. IV fluids are administered during anesthesia to maintain proper electrolytes and hydration, which requires shaving a small section of fur from one or two legs. We use appropriate surgical medications to keep your pet comfortable and pain-free.

Surgical admission is from 7:00 to 8:00 a.m. This schedule is designed to reduce your pet’s anxiety and allow time for the pre-anesthetic examination and testing. Please feel free to contact us at any time for an update on your pet at (770) 476-3317.

I understand there are always inherent risks associated with the use of anesthesia, and that Duluth Animal Hospital takes every precaution to minimize these risks. I am encouraged to discuss any concerns I have about these risks with the attending veterinarian before the procedure(s) begin.

I understand that the 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 this hospital, 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 after the surgical procedure is performed, such as follow-up radiographs, re-check physical exams, and additional surgery due to post-operative complications (these are more likely to occur when aftercare instructions are not followed). Although every effort will be made to adhere to any estimate provided, I understand that actual costs may vary according to my pet’s individual medical needs. Estimates are not a guarantee of final cost, and I will be responsible for any charges beyond the original estimate.

I understand full payment is due at the time of service by credit or debit card, CareCredit, or cash. Checks are not accepted.