Hours & Contact
  • Monday - Friday: 8:00am - 6:00pm
  • Saturday & Sunday: Closed
  • (904) 738-8391
  • [email protected]
  review us!
  • facebook
  • instagram
  • google
  • nextdoor
Atlantic Veterinary Hospital
Main Menu
Menu
  • Services
    • Cat Services
      • Kitten Care
      • Cat Comprehensive Physical Exams
      • Cat Spay & Neuter
      • Cat Allergy Testing
      • Cat Dermatology
      • Cat Microchipping
      • Cat Vaccination
    • Dog Services
      • Puppy Care
      • Dog Comprehensive Physical Exams
      • Dog Vaccinations
      • Dog Microchipping
      • Dog Dermatology
      • Dog Activities and Fun
      • Dog Allergies
      • Dog Deworming
      • Dog Fleas and Ticks
      • Dog Heartworm
    • Dental Care
      • Dental Cleaning
      • Dental Surgery
      • Gingivitis
      • Teeth Extractions
    • Surgery
      • In-House Diagnostics
      • Amputation
      • Soft Tissue Surgery
      • Anesthesia
    • Senior Pet Care
    • Euthanasia & Cremation
    • Emergency Care
    • Large Animal Services
      • Vaccines
      • Coggins and Health Certificates
      • Dentistry
      • Deworming
      • Emergency Care
      • Euthanasia
      • General Health Medicine
      • Lameness Exams
      • Nutrition
      • Pre-Purchase Exam
      • Radiology
      • Sports Medicine
      • Surgery
  • Pet Portal
  • About Us
    • Meet the Team
      • Veterinarians
      • Support Staff
      • Veterinary Technicians
    • Virtual Office Tour
    • 2025 9K for K9s
    • Pet Friendly Paces Near St. Johns, FL
  • Blog
  • Forms
Request Appointment

Surgical Consent Form

Have you withheld food from your pet overnight?
Is your pet currently on any medications?

Your pet will be placed under general anesthesia for a surgical procedure today. All pets presented for surgical procedures will have the following:

  • Balanced anesthesia including premedications, intubation and gas anesthesia.
  • If necessary, an IV catheter will be placed for the administration of emergency medications. 
  • IV fluid therapy may be administered to keep the pet hydrated and maintain the pet’s blood pressure.
  • Pain medication, both in the hospital and to go home when necessary.

Preanesthetic Bloodwork - Schedule a Tech Appointment - blood must be drawn at least 24 hours prior to Anesthesia.

Bloodwork to screen for internal problems is strongly required for all pets undergoing anesthesia. To minimize the risk of such occurrences, baseline bloodwork is performed in order to assure proper organ function, detect anemia or infection. Preanesthetic bloodwork includes a Complete Blood Count (CBC) to evaluate the blood cells and a chemistry panel to evaluate the liver and kidney function, electrolytes, protein and more. Abnormalities in a pet’s bloodwork can point us toward previously unidentified problems that may not be evident on physical examination alone.

Pre-Op Bloodwork
Additional Treatments

Anesthesia Consent and Release:

I authorize the veterinary staff to perform the procedures outlined above including general anesthesia. I understand that there are inherent risks with any anesthetic procedure. I understand that the veterinary staff will limit risk to every extent possible through preanesthetic testing and monitoring during anesthesia, but elimination of risk is impossible. I understand that serious complications and/or death may result from any anesthetic procedure and will not hold the veterinary hospital or staff liable. I assume full financial responsibility for this patient and understand that payment is due at the time of service.

Enter phone number
Your email address is required here 
CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Sign above

Share this content

  • twitter
  • email
  • pinterest
  • facebook

How Are We Doing?

  review us!
Atlantic Veterinary Hospital
  • facebook
  • instagram
  • google
  • nextdoor
How Are We Doing?

map

Get In Touch
  • 11651 Philips Highway
    Jacksonville, FL 32256
  • (904) 738-8391
  • [email protected]
decor image
  • Testimonials
  • Contact Us
  • Privacy
  • Accessibility

©2025 Atlantic Veterinary Hospital. Resource Articles ©2025 GeniusVets. All Rights Reserved. Veterinary websites by GeniusVets