Surgical Consent Form

  • Pre-Surgical / Anesthesia Checklist

    Your pet must be up to date on the following
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  • If this is your pet's first visit with us, you must bring proof of the above vaccines or they must be given prior to the surgery.

    Also, please be aware that a physical exam is required for all first time patients. Please review and sign the attached Consent Forms and bring them with you on the day of the surgery.

    Remember, DOGS & CATS must not be given food or water after midnight (12:00 am) the night before a surgery!

    Our greatest concern is the well-being of your pet. Before putting your pet under anesthesia we will perform pre-operative bloodwork and diagnostic tests to determine if your pet has any special needs and is healthy enough for anesthesia. Our laboratory is fully equipped and staffed to perform these crucial tests and the results will be immediately available to review before placing your pet under anesthesia.

    The undersigned hereby warrants that he/she is the owner or authorized agent for the owner of the above-named animal and does hereby request, consent, and authorize Berkeley Heights Animal Hospital, to care for, treat, or perform the procedures listed below.

    In emergency circumstances, staff members are authorized to provide emergency care as deemed necessary until further advised by the undersigned owner or agent in person by phone or writing.

    The undersigned further acknowledges that no guarantees have been made except reasonable precautions against complications, injury, escape, illness or death with the understanding that the undersigned will remain fully responsible for the cost of all services provided by Berkeley Heights Animal Hospital.

    Payment policy: We accept cash, checks (w/ a DL), Master Card, Visa, Discover, Amex and Care Credit for payment of services. We cannot extend the privilege of billing services as this puts us in the position of becoming a lending institution.


    I agree to assume financial responsibility for all services rendered.

  • Laser Surgery/Microchip/Therapeutic Laser Consent Form

  • Benefits of Laser Surgery:

    • The laser seals nerve endings, therefore reducing post-surgical discomfort.
    • The laser cauterizes small blood vessels. This reduces bleeding during surgery.
    • There is no physical contact between the laser and the patient, reducing inflammation near the incision site.
    • Laser energy acts as an antibacterial agent by producing high temperatures reducing infection.
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