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Surgery Consent Form

Spokane pet owners: submit your surgery consent form online before your pet’s procedure at Five Mile Pet Clinic.

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Preparing for a Safe Surgical Visit

Before any surgical procedure, we ask that you complete a Surgery Consent Form to confirm your understanding of the procedure, anesthesia use, and post-op care. This form ensures we have your permission and the details we need to provide safe, compassionate care.

If you have any questions about your pet’s procedure, pain management, or recovery, don’t hesitate to reach out to our team.

 

Included in This Form:

  • Consent for surgical treatment
  • Emergency contact information
  • Notes on medications or special instructions

Complete the Form

Dear Client,

Your pet is scheduled for an upcoming surgery. To help make the surgery day as easy and stress-free as possible, we have put together a few simple forms for you to review and sign in advance.

Please carefully review all the provided forms. If you have any questions, feel free to call or email the hospital at (509) 326-3465 or reception@5milepetclinic.com. On the day of your pet’s surgery, you will be asked to review and sign an Authorization/Estimate Form. We will also confirm the best phone number to reach you while your pet is in surgery.

The night before your pet’s surgery, please do not provide any food or treats after 10:00 PM. Water is okay and may be left out for your pet. If your pet is currently taking any medications, vitamins, or injections, please withhold the morning doses unless your doctor has instructed otherwise.

At the time of your pet’s scheduled surgery, the doctor will address any remaining questions or concerns and will collect the completed Authorization Form.

If you have chosen to proceed with any recommended blood tests, these samples will be collected before surgery if they have not already been completed. If any questions arise, the doctor may contact you using the phone number listed on the Authorization Form.

Once the surgery is complete, the doctor will process your payment, review discharge instructions with you verbally, and provide a written copy. If anything is unclear, please do not hesitate to ask for clarification before leaving or afterward.

We understand that surgery days can be stressful. Five Mile Pet Clinic truly appreciates the trust you place in us, and we are committed to making this experience as smooth and comfortable as possible for both you and your pet.

We look forward to caring for you and your pet on the upcoming surgery day.

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