"*" indicates required fields InstagramThis field is for validation purposes and should be left unchanged.Does your pet have any issues that would require MORE than the pre-anesthesia exam the morning of your pet's procedure? If so, please list.Is your pet currently taking any medications? If yes, please list including dose and interval.Please be sure to give your pet any prescribed medications the day of surgery unless otherwise instructed.MedicationDoseInterval Add RemoveWould you like your pet’s toe nails trimmed while under anesthesia? Yes No We have listed the options to keep your pet from licking/chewing at their incision/surgery site. Please check one. Medical Pet Shirt Elizabethan Collar (hard sided cone) Zen Inflatable Collar I have something at home Not needed Are there any additional procedures you would like to discuss doing during the time your pet is here?Do you have any postoperative medications at home that you can use for this surgery? If so, what is the medication name and milligram? How much of this medication do you have? examples of medications: Rimadyl? Carprofen? Galliprant? Valtorb? If not, we will include them today.Owner's Name*Pet's NameProcedure Date MM slash DD slash YYYY Name of SurgeryYour pet’s scheduled discharge time is We have the aforementioned pet's name scheduled for the surgery mentioned above on date mentioned above. You are scheduled to drop your pet off at 7:30am. As a reminder, no food after 10:00pm the night prior to surgery, water is ok until you head to your appointment. If your pet is taking any daily medications please be sure to give those medications as scheduled, even the morning of the surgery. Dr. Gleason will email your pet’s discharge information once he has completed the procedure. Please review the information and let us know if you have any questions.
