Anesthesia and Dental/Oral Surgery Consent Form

Welcome! Prior to your pets upcoming surgery, please fill out the form below.

Step 1 of 5
Please provide the number where you can be reached during the procedure.
Example: Vomiting, diarrhea, swelling, hives, etc.

Dental Procedure

This is a professional oral health exam, treatment and teeth cleaning for your pet. This procedure includes an oral cancer screening, digital dental x-rays (when indicated) which help diagnose dental and oral disorders, irrigation (cleaning the mouth with an antibiotic solution), hand and ultrasonic scaling and polishing, possible surgery based on oral exam findings, and is performed under general anesthesia.
If Yes, Please describe in the field below.
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