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MASS REMOVAL FORM
Mass Removal Form Patient:*Release Date Client NameType Cat Dog Side Left Right RegionNumber of Masses RegionNumber of Masses RegionNumber of Masses RegionNumber of Masses I acknowledge that the area(s) marked above are the only location(s) discussed for removal, and authorize the removal of additional masses if found while the patient is under anesthesia. I realize …
AFTER SURGERY HOME CARE
After Surgery Home Care Form Patient:*Release Date To continue your pet’s recovery at home, it is important that you follow these instructions. If you have any questions or concerns please don’t hesitate to call us at (509) 438-48001. Food and Water A. Water in small amounts may be given as soon as the patient is …
DENTAL CONSENT FORM
Dental Consent Form This form is to promote a clearer understanding of the process involved in cleaning your pet’s teeth. Please be aware of the following facts: A thorough evaluation of your pet’s mouth, teeth and gums cannot be accomplished without the aid of a general anesthetic. Incidental findings, such as tumors and abscessed tooth …
ANESTHESIA REALEASE FORM
Anesthesia Release Form Fortunately advances in anesthesia and surgery have made routine procedures relatively safe, with a low rate of complications. However, occasional problems can occur due to pre-existing conditions not evident during routine examinations. To possibly avoid these problems, we recommend that your pet be screened prior to surgery by means of a blood …
NEW PATIENT FORM
New Patient Form Thank you for choosing Dr. Menks’ Mobile Vet Care! In order to serve you and your pet(s) better, please complete the following information Owner's InformationName* First Last Phone*Current Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific …
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NEW PATIENT DENTAL CONSENT MASS REMOVAL ANESTESIA RELEASE HOME CARE
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