SURGICAL CONSENT FORM / PRE-SURGICAL HEALTHY EXAM FORM

  • Planned Procedure:

    TNR = (spay/neuter, rabies, fvrcp, ear mite treatment, ear tip)

    ALL TNR PACKAGES INCLUDE THE SPAY/NEUTER, A RABIES VACCINE, AN FVRCP VACCINE, AND AN EAR TIP. WE REQUIRE PROOF OF VACCINES IF YOU DO NOT WANT US TO INCLUDE THEM IN THE PROCEDURE.

  • MM slash DD slash YYYY
  • **If fleas or worms are present, flea medication or de-wormer WILL be administered at the cost of the owner/trapper**

    Each cat must be in their own separate hard crate or trap. Due to limited kennel space, all animals will be returned to their crate for recovery. This creates less stress for the pet being in a familiar environment. Once the pet is in the crate a technician will monitor vitals until they are alert enough to go home. In extreme feral cases we will not be able to handle the pet once they are awake from anesthesia. WE ARE NOT IN THE CLINIC OVERNIGHT, IF YOUR PET MUST STAY WITH US, WE WILL MONITOR BEFORE LEAVING IN THE EVENING AND AGAIN FIRST THING IN THE MORNING.

  • With my signature I authorize Rayford Animal Wellness Clinic to perform the procedure listed above. I understand that with any surgery there is the inherent risk of anesthesia and surgical complications which could include death. Rayford Animal Wellness Clinic will not be liable for any additional costs these complications may incur, and I do not hold Rayford Animal Wellness Clinic responsible for any unforeseen complications. I have read and understand these terms.

  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.