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Teeth Cleaning Procedure Questions: If your pet is having a teeth cleaning performed today and extractions are needed, we will call you with an updated estimate. If we cannot reach you within 5 minutes, do we have permission to proceed with extractions in the best interest of your pet? Please note that additional costs involved will be due to anesthesia time, tooth removal and medications.
Pain management consent: If your pet will be having a painful procedure that the doctor feels warrants pain control, we reserve the right to administer appropriate pain management in the hospital at an additional charge. Prescription pain mediation may be sent home upon release.
Blood work and anesthesia consent: Your pet is scheduled to have a procedure today that requires anesthesia. Although blood testing has been done to screen the vital organs that remove anesthetic from the body, it is important to understand that the pre-anesthetic blood profile does not guarantee the absence of complications.
Electronic Agreement: By typing my full name (first name and last name) below, I hereby authorize the Animal Hospital of Shawnee Hills to perform the above listed procedure(s) with associated anesthesia. I am aware of the risks involved and will not hold the Animal Hospital of Shawnee Hills or its staff liable in any manner whatsoever or under any circumstances. I acknowledge that no guarantee or assurance has been made as to the results that may be obtained.
Full payment is required at the time services are provided (we are not able to provide billing services). Due to the COVID-19 Pandemic, we can only accept credit card payment over the phone, including, Visa, MasterCard, Discover Card, Care Credit, & American Express. I understand that the hospital staff will provide an estimate of current and anticipated charges before services are rendered and that I am financially responsible for all services provided.