Your pet may need to be sedated in order to fully assess your pet's condition. The cost for sedation is based on your pet's weight. Please provide the following information:Pet's Name* Reason for Sedation:* Before sedating your pet, we will perform a full physical examination. However, many conditions, including disorders of the liver and kidneys or blood, are not detected unless blood testing is performed. For senior pets, those over 7 years of age, we recommend a more comprehensive general panel. Such tests are important before sedating. For these reasons, we require, at a minimum, the pre-sedation panel prior to sedation unless, a pre-sedation panel, general panel, or wellness panel has been performed within the last 30 days.Please check the box that applies:* Pre-sedation blood test Comprehensive blood test for pets older than 7 years I request that my pet receive the above procedures. I also understand that unforeseen complications or life threatening situations may occur during the above procedure and I authorize the veterinarians and support personnel to alter procedure and provide such treatments, in the doctor's professional judgement, as necessary to safeguard the life and health of my pet.Email Address* Email AddressElectronic Signature* Electronic SignatureDate* MM slash DD slash YYYY DateTelephone # where I can be reached*Telephone # where I can be reached
