Animal Clinic Inc.
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Animal Clinic Inc.
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Compassionate, quality petcare since 1947

Compassionate, quality petcare since 1947

Pre-Surgical Dental Consent Form

  • Date Format: MM slash DD slash YYYY
  • Vaccines

  • Charges for vaccines are: $28.00 per vaccine, plus examination fee. Except feline leukemia vaccines which are $31.50 and influenza which are $42.50.
    It is our clinic policy to require up-to-date vaccinations on all pets entering our hospital for surgery, grooming and day boarding.
    Required vaccines are:
    DOGS:
    • Distemper (DALPP)
    • Rabies
    • Bordetella (ITT)
    CATS:
    • Distemper (FVRCPC)
    • Rabies
    FERRETS:
    • Rabies
  • Pre-Anesthetic Blood Testing

    Additional cost of $78.44

  • Like you, our greatest concern is the well being of your pet. Before anesthetizing your pet, the veterinarian will perform a full physical examination as well as draw a blood sample for screening. Many conditions, including disorders of the liver, kidneys or blood, are not detected unless blood testing is performed. Such tests are especially important before any kind of surgery. We require that all pets have pre-anesthetic screening.
  • I.V. (Intravenous) Fluid Therapy

  • Under most circumstances, pets have been "fasted" and water withheld for a period of time prior to surgery. This has been recommended so that your pet has an empty stomach during his/her procedure to avoid vomiting and secondary aspiration pneumonia. IV therapy can help support their hydration levels and blood pressure and help with administration of emergency drugs if needed, which are all important during anesthesia/surgery.
  • Pain Control After Surgery

  • Pain control during and after surgery is an important aspect of the healing process while also providing comfort to your pet. Pain medications will be prescribed to your pet based on the discretion of your veterinarian. Post-surgery injections and take-home medications are based on weight of pet. Pain medication will be dispensed if your pet has any extractions and/or deemed necessary by the veterinarian. Additional cost of $10-$35 will be charged if pain medication is prescribed.
  • Extraction of Teeth

  • When your pet is under anesthesia for dental cleaning, a veterinarian will examine the teeth and determine if any need to be extracted. This cost varies depending on which tooth and/or teeth will need to be extracted.
  • Secondary Services Offered to Surgical Patients

  • Your pet has been admitted to the Animal Clinic today for the procedure listed on the front of this Consent Form. Many times, owners will request that other services be addressed while their pet is in our care. If you would like the veterinarian and staff to provide additional services to your pet, please indicate from the list provided.
    Select all you would like performed on your pet
  • Payment for Services

  • Payment is due in full at the time of service. You will be expected to pay your entire bill just prior to your pet being discharged from the Animal Clinic unless you and your veterinarian at the Animal Clinic, Inc. have made other arrangements. We accept credit card and debit card payments.
  • Owner's Release


Animal Clinic, Inc.

133 28th SE (28th & Division)
Grand Rapids, MI 49548

Phone: 616-241-3651
Fax: 616-241-3653

Hours of Operation

Monday – Thursday: 7am – 7pm
Friday: 7am – 6pm
Saturday: 8am – 1pm
Sunday: Closed

Emergency services during office hours
Referrals made after hours

Se Hable Espanol

AAHA Accredited for 50 Years

We are an AAHA-accredited practice, which means that we meet AAHA’s extensive standards for patient care and hospital services. AAHA’s standards help ensure that we provide your pets with the highest quality health care possible.

Find out what this means for you and your pet >

© 2023 Animal Clinic Inc..
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  • Home
  • New Clients
    • What to Expect
    • Take A Tour
    • Payment Options
    • Make an Appointment
  • About Us
    • Our Practice
    • Contact
    • Our Team
    • Testimonials
    • Animal Clinic Videos
    • Animal Clinic News
  • Forms
    • Pre-Surgical Consent Form
    • Pre-Surgical Dental Consent Form
    • Pet Information Form
  • Services
    • Types of Pets We Treat
    • Medical Services
    • Nutritional Counseling
    • Surgical Services
    • Wellness and Vaccination Programs
    • Grooming
    • Additional Services
  • Pet Health
    • Pet Health Library
    • How-To Videos
    • Pet Health Checker
    • Pet Insurance Info
    • Our Pet Portal
  • Blog