COUNTRYSIDE VETERINARY HOSPITAL
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    Surgical Authorization and Option Consent Form


    LASER SURGERY OPTION

    1. The LASER produces little or no blood loss for your pet because the LASER seals the small blood vessels.
    2. The LASER produces little or no swelling at the surgical site because the LASER seals the lymphatic vessels.
    3. The LASER produces less post operative pain for your pet because the LASER seals the nerve endings.
    4. The LASER allow very precise removal of tissue
    NOTE: Some surgeries are only performed with the laser

    BLOOD TEST OPTION

    Any time your pet is to be put under a general anesthesia we recommend a pre-anesthetic blood screen.  The blood screen checks out your pet’s liver and kidney function and helps us to determine if it is safe for your pet to undergo anesthesia, the type of anesthesia used and whether fluids would be beneficial to support the kidneys during the procedure. (NOTE: The additional cost for this test is $86.00)

    MICROCHIP OPTION

    We can now microchip your pet for the purpose of permanent identification.  Microchips save lives.  We strongly recommend implanting microchips in case your pet is lost or stolen.  Since this is a permanent identification, your pet can never lose, alter or damage the microchip.  Animal shelters and veterinary hospitals locally and nationwide routinely scan pets that they receive for microchip identification. (NOTE: The additional cost for the microchip is $56.00 and includes the registration/ fee with Home Again)

    ADD FLUIDS


    DENTAL OPTIONS


    SURGICAL CONSENT

    I am the owner or agent of the above-described animal and have the authority to exercise this consent.
    I hereby consent and authorize the performance of the procedures as discussed.

    I authorize and consent to the use of anesthetics, sedatives, medications and/or procedures, as the veterinarian deems appropriate.  If during the performance of these procedures an unforeseen condition is revealed, I further authorize and consent for the veterinarian to use their best judgment in the matter of my pet’s health. 
     
    I understand there is always some risk associated with the use of anesthetics, sedatives, medications and surgery.  I also understand that my pet may have unforeseen conditions that may result in complications or even death.
     
    I have been advised as to the nature of the recommended procedure(s) and/or operation(s) and the risks involved.  I realize that results cannot be guaranteed.
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Get In Touch

Countryside Veterinary Hospital
Address: 3120 S Woodruff Ave
                  Idaho Falls, ID 83404
Main Phone: 208-522-8010
​Email: countryside.idahofalls@gmail.com

Countryside Pet Center (boarding)
Phone: 208-522-9011

Office Hours

Monday: 7:30 am to 6:00pm
Tuesday: 7:30 am to 6:00pm
Wednesday: 7:30 am to 6:00pm
Thursday: 7:30 am to 6:00pm
​Friday: 7:30 am to 6:00pm
Saturday: Closed
​Sunday: Closed

Helpful Info

ONLINE PHARMACY
EMERGENCY INFO
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  • Home
  • Our Services
    • Acupuncture
    • Boarding
    • Cancer Treatment
    • Dentistry
    • In-House Diagnostics
    • Laser Surgery
    • Microchipping
    • Orthopedic Surgery
    • Soft Tissue Surgery
    • Therapeutic Laser Treatment
    • Ultrasound
    • Wellness Care
  • Our Team
  • Forms & Resources
    • New Client Form
    • Petly
    • Surgical Authorization and Option Consent Form
  • Contact
  • Online Pharmacy
  • Emergency Info