Dental Procedure Consent Form

This consent form captures key information about your pet’s dental health, your preferences, and any considerations our team should be aware of before the procedure. Your responses allow us to deliver safe, effective oral care tailored to your pet’s needs.

About UsContact Us
Grey cat reaching out while laying down

Preparing for Dental Care

Dental Procedure Consent

Please complete all fields below prior to your pet’s dental appointment. Our veterinary team will use this information to guide treatment decisions and ensure you’re kept informed of any findings or recommendations along the way.

In an effort to provide the best possible service for you and your pet, please take a moment to review and complete this admission form.

General cleaning includes: Pre-anaesthetic exam, I.V. catheter with fluids, general anaesthesia with monitoring, dental cleaning, scaling, polishing, charting, and full mouth radiographs (X-rays).

Pre-Anaesthetic Bloodwork

Extractions/Other Treatments:

Dental X-rays allow us to determine if any disease is occurring below the gum line. Severely diseased teeth can cause considerable pain and discomfort and are a source of infection for other organ systems (liver, kidney, lungs, and heart).
(if this box is not checked, a nail trim will be performed under anaesthesia)
Vomiting, diarrhea, seizures, etc.

Additional Contact

If we cannot reach you and there is another person that has your permission to make medical and financial decisions, please indicate below.

Formal Acknowledgement & Acceptance

All accounts are payable at the time of consultation unless a prior arrangement has been made.
Clear Signature