CENTRAL
VALLEY VETERINARY HOSPITAL
124-1940 Kane Road, Kelowna, B.C. V1V 2J9
Phone: 250-762-7181, Fax: 250-762-7183 |
Please
print all pages and bring with you
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Dear: _______________________________________ |
We are sending this letter to confirm that you are scheduled for___________________________
on __________________________. We would ask that you have your owner
drop you off at the clinic between 8:30 a.m. and 9:30 a.m. (You may
need to remind them with a few licks on the face!!) |
On the back you will find a Pre-Surgical/Pre-Anaesthetic Testing form
that we would like you to show to your owner. Please have them read
and complete this form and bring it with them when they drop you off
at the clinic. Pre-anaesthetic bloodwork gives the doctor an inside
look at some of your vital internal organs. We are especially concerned
with the health of your liver and kidneys as these organs help the
body get rid of the medications used during anesthesia. We strongly
recommend completing these blood tests to help ensure your safety. |
VISIT OUR WEBSITE
www.centralvalleyvet.com
FOR OUR SPAY/NEUTER PROTOCOL
***PRE-SURGERY CHECKLIST*** |
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No
food for you after 9:00 p.m. the night before. This means no
sneaking into the fridge for a midnight snack!! The only thing
that you can have is water.
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No
water after you get up in the morning. (Your owners may have
a coffee though!!)
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A
bathroom run before you hop in the car!
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Have
your owners complete and sign the Pre-Anaesthetic Testing form
and bring it along with them when they drop you off. Make sure
we have a phone number where we can reach your owner during
the day in case we have any questions.
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If
you are a dog, have your owners bring in a sample of your urine
so that we can test your kidney function. Cost is only $10 if
you've supplied the sample. Remember to go easy on your owner
while they chase you around the yard!! A stool sample is also
recommended to make sure you're free of intestinal parasites!
(Cost is $26)
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Relax!!
The anaesthetic we use is the safest available and we will keep
a close eye on you the entire time you are at the clinic.
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| You
can phone the clinic at around 2:00 p.m. to see how you are doing
and to find out when you can go home!! We usually send patients home
around 4:00 p.m. but we are open until 5:00 p.m (6:00 p.m. on Tuesday
and Wednesdays). Okay, that's it! We look forward to seeing you soon.
Please have your owners call if they have any questions that you can't
answer. |
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PRE-ANAESTHETIC WELLNESS TESTING CONSENT FORM
|
At
Central Valley Veterinary Hospital, it is our purpose to treat your
pets like family members and to educate you on how to best take care
of them. In keeping with this purpose, we strive to make the general
anaesthetic your pet is about to undergo as safe and comfortable as
possible. Every animal will receive a complimentary physical examination
by the veterinarian to rule out any readily detectable abnormalities.
In addition, we strongly recommend the following laboratory tests
in order to detect any internal conditions which may increase your
pet's surgery or anaesthetic risk or which may be aggravated by the
anaesthetic. The added benefits of performing the tests are that they
will serve as reference values for future use should your pet become
ill. Test results will be available immediately as they are performed
on site using the latest technology. |
|
Please indicate your choice below:
|
| Prep
Profile - Healthy Patients less than 7 years of age........................... |
$95.30 |
|
| • |
to
ensure proper functioning of vital organs and systems
such as liver, kidneys and blood which is critical to
anaesthetic safety. CBC, ALKP, ALT, BUN, CREA, GLU, TP,
Na, K, Cl) |
|
Comprehensive Profile - Patients over 7 years of age or questionable
health................................................................................................. |
$118.30
|
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| • |
older
pets are more likely to have internal organ malfunctions
than young pets. CBC, ALB, ALKP, ALT, TBIL, TP, PHOS,
BUN, CREA, AMYL, CHOL, GLU, CA, Na, K, Cl) |
|
Parasite Examination (young dogs/cats) - Please bring in stool
sample... |
$26 |
|
Urine Concentration (any age).............................................................. |
$11 |
|
| • |
very
valuable additional test to help evaluate how the kidneys
are functioning |
|
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| OPTIONAL
(BUT RECOMMENDED) PROCEDURES |
| I.D.
TATTOO |
| • |
Very
valuable tool of identification for your pet. This is a B.C.
wide program to help re-unite lost pets with their owners............................................ |
$31.50 |
|
| IV
Fluid Administration (during surgery-helps improve blood
pressure and circulation during general anesthesia.............................................................
|
$83.50 |
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|
I prefer not to have any of the above tests or procedures performed
on my pet other than the free physical examination. I understand that
certain internal disorders may be missed by not doing the tests. Initial:___________________________ |
I understand that there may be additional charges, especially for
dog or cat spays (overweight, pregnant, very large, in heat, mature
etc.) This applies to SPCA adoptee surgeries also. I agree to pay
these additional charges if they arise.
|
| Signed:___________________________ |
Date:_____________________________ |
|
Daytime Contact #:_______________________ |
|
Surgical/Dental Permission Slip
|
Date:______________________ |
Please
do whatever is needed
without calling me........................................
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Please do whatever is needed up to $_______(dollar limit)
without calling me........ |
|
Please call for permission to do anything else that might
be needed..........................
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____________________________
(signature) |
___________________________
daytime contact # |
CENTRAL VALLEY VETERINARY HOSPITAL
LASER SURGERY CONSENT FORM |
| Advances
in veterinary medicine and LASER surgery
now make LASER use in our surgical procedures
available to our clients. We continually strive to provide the best
possible care for your pet. We feel that LASER
surgery provides the best possible care for your pet. The main reasons
for this are as follows: |
| 1. |
The
LASER produces little or no blood loss
for your pet because the LASER seals the small blood
vessels |
| 2. |
The
LASER produces little or no swelling for
your pet because the LASER seals the lymphatic vessels. |
| 3. |
The
LASER produces less post operative pain
for your pet because the LASER seals the nerve endings. |
| 4. |
The
LASER allows precision in removal of tissues. |
| 5. |
The
LASER may allow fewer stitches or eliminate
sutures completely. |
I understand
that LASER surgery is an option* and
I have been advised of the advantages this procedure will offer. |
| |
*The
use of the LASER for routine, elective surgeries is an
option.
*The use of the LASER in complex surgical procedures
may be required. |
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YES,
I understand the benefits and I want my pet to have LASER
surgery
Additional cost of surgery is $47.00 for routine (spay/neuters),
prices may vary due to procedure. Ask our staff. |
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NO,
I do not want my pet to have LASER surgery. |
______________________
Date: |
______________________________
Signature of owner or agent |
How Do We Deal With "Complications"?
|
.....The subject of who pays for the
costs involved in treatment of complications after surgery or dentistry
or even medical treatment can be an awkward one because complications
are usually unexpected and unpredictable. We usually all like to think
that everything will progress perfectly smoothly and patients will
respond as expected but this is not always the case. Many factors
can be involved, some of them beyond any of our control. Sometimes,
the problem lies with the patient (ie: a pet that licks compulsively
at an incision or reacts adversely to a medication). Other times,
the owner forgets some crucial instruction. Occasionally, the veterinarian
or staff may perform a procedure in a certain way that, in retrospect,
may have been better done in another way.
.....At Central Valley Veterinary Hospital,
we take the approach that everybody is imperfect, but we all have
the best intentions. We all want a happy treatment outcome for the
pet. We look at the veterinary-client-patient relationship as a partnership
where we all bear equal responsibility. Consequently, when it comes
to who pays for complications, we believe in sharing the expense equally.
We pay half and you, the pet owner, pay the other half. In other words,
we bill as usual and discount the total by 50%. Hopefully, this is
satisfactory.
Veterinarians and Staff of CVVH Inc.
|
| I
have read and understood the above statement and agree to abide by
it. |
NAME: __________________________________________________(Print)
SIGNATURE: _____________________________________________
DATE: ___________________________________________________
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