Canine Spay/Neuter Form Pet Name* Owner Name* Owner’s Primary Contact Number* Please select...*HomeCellWorkAlternate Contact Name Alternate Contact Number I am the owner or agent for the owner, of the above described animal and have the authority to execute this consent. I hereby consent to and authorize the performance of an ovario-hysterectomy (spay) or neuter for this animal. MALES – In the event that a testicle(s) is not located in the scrotum, it is medically prudent to locate and remove both testicles. Locating the non-scrotal testicle(s) involves an additional surgical procedure that is performed at the same time as the traditional neuter. We will NOT remove the sole scrotal testicle without locating and removing the other testicle. *Additional charges apply to locate and remove non-scrotal testicles.* FEMALES – We occasionally find factors that will increase the risk of surgery. These factors include being obese, over 1 year of age, “in heat”, or pregnant. *Additional charges apply in these situations.* If the situations above are identified what would you like us to do?*Call before surgery to discuss additional charges.Proceed with surgery, no call needed.I realize that any procedure involving general anesthesia carries a risk, although very small, of death.In such case, I authorize the following measure to be taken* No resuscitation External resuscitation My pet will have no food starting at 10pm the day before the procedure.* Type your initials here to indicate you understand the above instructions.Laser therapy has been proven to improve healing time, reduce pain and decrease swelling. We offer post-surgical laser therapy to surgical incisions for those reasons at a cost of $22.30 Please indicate below by checking YES or No if you would like this additional pain control. To learn more about Laser Therapy please visit https://babcockhills.com/veterinary-services/laser-therapy/Laser therapy selection* Yes No DECIDUOUS TEETH (baby teeth) do no always fall out on their own. We may not be able to tell if your pet has lost these teeth until anesthetized. If not, we recommend surgical removal while your pet is anesthetized so adult teeth may develop properly with minimal discomfort for your pet.Select Deciduous Teeth Removal Option:YES - please remove deciduous teeth, if found.NO - do not remove deciduous teeth, if found.IF FLEAS OR TICKS ARE FOUND ON YOUR PET AT THE TIME OF ENTRY, YOUR PET WILL BE TREATED AND THE MEDICATION WILL BE REFLECTED ON YOUR INVOICE UPON CHECK-OUT.Acknowledgement of flea/tick statement.* YES - I understand We offer the Home Again Microchip. Micro chipping is as quick and painless as when we administer your pet its regular vaccinations. More than 10 million pets get lost each year. One third of all pets, including "indoor-only" cats and dogs, will become lost during their lifetime. Unfortunately 90% won't return home without effective identification. The City of San Antonio approved an ordinance amendment (effective 4/30/2015) making a registered microchip the primary means of licensing for pets living within the San Antonio city limits. All dogs, cats, ferrets residing in San Antonio city limits must have a registered microchip and the microchip must be properly registered with the microchip company with the current ownership information. Would you like to ensure your pet has a safe return home if he/she ever gets lost?For Microchip purposes, please select one of the following:*YES. Please protect my pet today with a microchip and lifetime registration for $74.69My pet has been micro chipped previously, but I have not yet registered and I WOULD LIKE TO REGISTER my pet today for $35.50.My pet is microchipped and is registered with the updated information.I understand that a microchip can help protect my pet and is required by the City of SA, but I DO NOT wish to microchip my pet today.I hereby authorize the veterinarian perform the procedure listed above-for the described pet. I assume responsibility for all charges incurred in the care of this animal. I also understand that all charges must be paid at the time services are rendered and that a deposit may be required for surgical treatment or hospitalization.Please type your Digital Signature:* Date* MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged.