Canine Dental Consent Form

Thank you for caring for your pet by bringing them to us today for dental treatment. By doing this, we can better not only your pets dental but systemic health. Today we shall do a scaling and polishing treatment as well as a total oral health assessment.

 

Dental Prophylaxis Base Pricing
 

During every dental treatment, all teeth are carefully evaluated for disease and pathology. However, most of your pet’s dental disease is below the gum line. By performing dental radiographs (x-rays) we can also look for these problems. This allows us to provide the best possible care for your pet.
 

Canine Dental Level 1 ......................................$742.50
Canine Dental Level 2 ......................................$950.50
 

Includes: Scaling, polishing, full oral exam, general anesthetic, full mouth dental radiographs, pre-placed I.V. catheter with continuous fluids, courtesy nail trim, radiology inerpretation service.
 


Pre-Anesthetic Bloodwork
 

Blood tests are used to screen for medical problems that may not be apparent on physical examination and could increase anesthetic risk. More involved tests provide more information but incur greater costs. We encourage some level of blood screening be done for all animals undergoing an anesthetic. We recommend option 1 senior animals.
 

Please select an option *


Necessary Dental Procedures

 

While under anesthesia, disease is often found that cannot be seen during an awake exam. This may need to be further assessed with radiographs or treated with procedures such as extractions.

 

Please select an option *

Please Note – If you cannot be contacted while your pet is under anesthesia, we will only do what has been authorized. Unfortunately, this may require another anesthesia for future treatment, if this permission was not given.

 

I understand that reasonable care and precautions will be taken with regard to restraint, anesthesia, and surgery performed on my pet. I also understand that any procedures requiring anesthesia are associated with certain amount of risk. I accept responsibility for these risks and authorize the hospital to perform the procedure(s) or surgery(s) on my pet while under anesthesia.

 

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