We are currently offering a New Client Discount (25% off first exam) and a Senior Citizen Discount (25% off your pet's exam fee)! Please mention these coupons at check-in.

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      Surgical Consent

      Thank you for choosing Vernon Hills Animal Hospital for your pet’s surgical needs.

      Surgical Consent Form

      Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before their surgery. If this is an emergency, or if your pet needs urgent care, please call us at 847-367-4070 for a faster response.

      I understand that during the performance of the foregoing procedure(s) or operations(s), unforeseen conditions may be revealed that necessitate an extension of the foregoing procedure(s) or operation(s) than those set forth above. Therefore, I hereby consent to and authorize the performance of such procedure(s) or operation(s) if necessary and desirable in the exercise of the veterinarian’s professional judgment.

      I also authorize the use of appropriate anesthetics and other medications, and I understand that hospital support personnel will be employed as deemed necessary by the veterinarian.

      The nature of such service has been described to me to my satisfaction, and I realize that neither guarantee nor warranty can ethically or professionally be made regarding the results or cure.

      I understand that I assume financial responsibility for all services rendered and that payment is due on the date of the surgery.


      Like you, our greatest concern is the health and well being of your pet. Because your pet cannot describe symptoms to let us know what might be wrong, we run blood tests to give us the answers we need, especially before surgery. By testing blood chemistries, we can evaluate the status of your pet’s major organs. The latest in technology has enabled us to run blood chemistries quickly and accurately before anesthetic induction. Senior pets (those 8 and over) are required to have this test done prior to any anesthetic procedure.


      We require fluid therapy for any patient undergoing a general anesthesia (excluding cat neuters). Fluid therapy is an important element of anesthetic patient management because it helps:

      • Maintain hydration
      • Maintain blood pressure
      • Provide ready access to a vein for medication


      Clear Signature