Surgery Consent Form

Please select N/A if your pet is only having one procedure performed.

General Patient Information

Please be aware: if fleas or ticks are found on your pet while in the clinic, they will be treated at an additional cost to you.

Owner Responsibility

Hospital and Procedural Information

Anesthesia: Pre-surgical blood tests and physical exam will enable us to assess and minimize the risk of anesthesia to your pet.


Monitoring: To minimize anesthesia risk, we monitor the heart, blood pressure, respiration rates, temperature, and oxygenation.

  Catheterization: For sterility, hair will be shaved over a vein on the leg so that an intravenous catheter (I.V.) can be placed. Blood pressure may lower during anesthetic procedures and fluid therapy aids in supporting your pet’s internal organ systems. It also allows immediate access to the vascular system in case of an emergency.


Pain Management may be necessary for some dental procedures. The doctor will administer pain medications according to your pet’s needs, which can be an additional fee ranging from $20.00 to $50.00.



I have read and fully understand this anesthesia and surgery consent form.

Serving the pets of Katy, TX and beyond.

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Our mission is to provide an exceptional experience through compassionate service with a personal touch. We care for your four-legged family members as our own.

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23015 FM 529 Road Suite 800

Katy, Texas 77493


Mon, Tues, Thur, Fri: 8 am - 5:30 pm

Wed: 8 am - 1 pm

Sat: 8:30 am - 12 pm

(1st and 3rd Sat of each month)

Sun: Closed

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