Surgery Consent Form

Before any surgical procedure at the Animal Medical & Surgical Center of Coshocton, we require a completed Surgery Consent Form to confirm your authorization to proceed.

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Complete Our Surgery Consent Form

Please read all sections carefully and submit this form prior to your animal’s scheduled surgery. Call us at (740) 622-0013 if you have any questions about the procedure or consent process.

Dear Client,

Your pet is scheduled for an upcoming surgery. To assist all of us in making the surgery day as easy and stress-free as possible, we have put together some simple forms for you to sign and review in advance. In addition to this letter, you will find that the following forms are provided on our website for review:

  • Pre-Anesthetic Blood Testing Information Form
  • Surgical Information Sheet

Please carefully review all provided forms. If you have any questions, please feel free to call or email the hospital at (740) 622-0013 / clinic.amscvet@gmail.com. On your pet's surgery day, you will be required to review and sign an Authorization/Estimate Form. We will also double-check to ensure we have a phone number where you can be reached during your pet's surgery time.

The night before your pet’s surgery, we ask that you refrain from providing any food or treats after 10:00 pm. Water is fine and may be left out for your pet to consume. If you are currently administering any medications, vitamins, and/or injections, withhold the morning doses unless otherwise instructed by the doctor.

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

If you have elected to have any of the recommended blood tests performed, these will be collected and done prior to the start of surgery, if not already performed in advance. If any questions arise, the doctor may contact you at the number on the Authorization Form.

Upon completion of the surgery, the doctor will process your payment, review all discharge instructions with you, and provide you with a written copy. If you do not understand any instructions, please do not hesitate to ask for clarification before leaving the hospital.

We know surgery days can induce stress and anxiety. Animal Medical & Surgical Center of Coshocton appreciates the trust you place in us, and we want to make the experience as pleasant as possible for both you and your pet.

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

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