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Authorization For Medical AND/OR Surgical Treatment
I hereby consent and authorize The Animal Hospital of Collin County, Inc. to administer such treatment, diagnostic procedures, and surgery as they deem necessary for my animal. I understand that before anesthesia or surgery, it is sound medical procedure to perform a pre-surgical blood profile on the animal for the purpose of discovering subclinical infections, inflammatory processes, anemia, liver or kidney dysfunctions, or blood clotting disorders. I also understand that there is a fee of $55.70 for this profile and that this fee is in addition to the anesthetic/surgical fee.
IN THE CASE OF SURGERY OR ANESTHESIA, I (circle one) DO DO NOT WISH A PRE-SURGICAL BLOOD PROFILE PERFORMED ON MY ANIMAL.
I assume full financial responsibility for this/these animals. I hereby certify that I have read and understand the above authorization form, the reasons surgery is being performed, and the possible alternative modes of treatment which were explained by the Doctor. I also understand that when dealing with living creatures, no guarantee of results can be made. Neither THE ANIMAL HOSPITAL OF COLLIN COUNTY, INC., any employee, doctor, or owner of the above will be held liable in conjunction with any procedures performed on my animal(s).
DAYTIME PHONE NUMBER:________________________________
We now offer "Home Again" Microchip Pet I.D. While you pet is under anesthesia, we can microchip your pet for permanent identification. Every year more that 20 million dogs and cats are put to sleep because humane shelters can not identify the pet or it's owner. A microchip is an unmistakable sign that the pet is not only loved, but very much wanted. The fee is $51.75 for the chip. There is a fee to register the chip in their database. The chip must be registered to be able to locate you if your pet is lost.
I (circle one) DO or DO NOT wish to micropchip my pet at this time.
|Monday||7:00 AM||7:00 PM|
|Tuesday||7:00 AM||6:00 PM|
|Wednesday||7:00 AM||7:00 PM|
|Thursday||7:00 AM||6:00 PM|
|Friday||7:00 AM||7:00 PM|
|Saturday||9:00 AM||10:00 AM|
|7:00 AM||7:00 AM||7:00 AM||7:00 AM||7:00 AM||9:00 AM||closed|
|7:00 PM||6:00 PM||7:00 PM||6:00 PM||7:00 PM||10:00 AM||closed|