Dental Consent Online Form

  • *PLEASE CHECK SERVICES BELOW YOU WOULD LIKE DONE.THESE SERVICES ARE PERFORMED AT AN EXTRA FEE*

    Chemistry blood panel screens several of your pet’s major systems including kidney, liver, protein, and electrolytes. CBC is Complete Blood Count of red blood cells (which carry oxygen), white blood cells (which help fight infection) and platelets (cells critical to the blood’s ability to clot.)
    Ensures proper blood clotting time prior to surgical procedure.
    No Tests for heart disease prior to surgery procedure.
    This is performed on gums, it reduces inflammation and pain.
    I understand that all pets receive pain medication with surgery and some pets may need additional pain medication. If the veterinarian deems additional pain medication is necessary for my pet, I understand that there is an additional fee.
    I do hereby certify that I am the owner/agent of this pet. I give my consent to Pet Hospital and it's staff to care for and administer any treatment and/or perform any tests deemed necessary for the health and welfare of my pet. I do hereby release Pet Hospital and it's staff of any responsibility and liability, in the absence of gross negligence, should my pet inflict self injury, refuse food, become ill, or die while in the care of Pet Hospital and it's staff. I am aware of the risks involved with anesthesia and that the results cannot be guaranteed. There may be times that no personnel are on the premises and that transfer for continued care may be required. I have read and completely understand this consent form and by signing this document I authorize the Veterinarian and the staff of Pet Hospital to perform the surgery and services that are indicated. I understand that all charges are to be paid at the time of services rendered.
  • Dental Release Form

    During the physical examination, it is often not possible to completely evaluate the degree of dental disease. Only when your pet is under anesthesia and dental radiographs are performed can a thorough dental exam be done. We thrive in recommending the best oral health care for your pet. We do have a preventative we can apply to your pets teeth and gums during yours pets dental that will help with overall dental health and prevent periodontal disease in the future.

Map & Directions

Pet Hospital
3411 E. Chapman Ave.
Orange, CA 92869
714-771-3261

Pet Hospital is conveniently Located in Orange just off the 55 Freeway at Chapman Avenue.

Forms Of Payment Available:

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