Quartz Mtn. Animal Hospital

8875 E Vía Linda, Scottsdale, AZ 85258

/ (480) 860-1433

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    • Quartz Mtn. Animal Hospital
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Surgical Release Form

"*" indicates required fields

Owner's Address*
Sex*
Microchipped?*
Up to date on vaccines?*
Proof of vaccines is required

Authorization for Medical/Surgical Treatment

Our greatest concern is the well being of your pet. An examination of your pet will be performed prior to giving any anesthetic. To avoid any potential problems, we will be drawing a small amount of blood from your pet and performing a pre anesthetic blood screen to further protect your pet. Results will be available that same day to determine whether anesthesia should be given.
***If pet is pregnant:***Do you wish to continue with the surgery?
Dental Cleaning/Prophylaxis: If your pet requires extractions
Please include the following items during my pet’s procedure:
Pain medication, antibiotics, and anti-inflammatory medications may be recommended to ease the pain and prevent any infection following surgery.
MM slash DD slash YYYY

Get In Touch With Us Today

  • This field is for validation purposes and should be left unchanged.

Office Hours

Monday: 8:30 am-5:30 pm
Tuesday: 8:30 am-5:30 pm
Wednesday: 8:30 am-5:30 pm
Thursday: 8:30 am-5:30 pm
Friday: 8:30 am-5:30 pm
Saturday: 8:30 am-1:00 pm
Sunday: Closed

Appointments

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Appointment

Get In Touch

(480) 860-1433

8875 E Vía Linda
Scottsdale, AZ 85258

Quartz Mtn. Animal Hospital

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