Online Form

New Client Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Get Started

New Client Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.

You may use the PDF version by clicking the DOWNLOAD FORM button and completing the printed form by hand. Please bring the completed PDF form for your pet’s first appointment.

Download Form

Client Name *

First

Last

Email *

Phone:

Patient: *

Species: *

Breed:

Color:

Provider:

Sex:

Tag:

Weight:

Microchip:

We appreciate your confidence in our staff and medical facility. It is our pledge to provide the very best in health care for your valued family pet. We expect your pet to do well during anesthesia and designated procedure(s) performed; however, as in human medicine, there are always risks even occasionally death associated with anesthesia and any medical or surgical procedures. As owner/agent of the above animal, I hereby give my consent and authorization to Dr. Pal's Small Animal Practice to perform the following procedures: *

PROCEDURE CONSENTFORM

I authorize the veterinarians and appointed technical staff of Dr. Pal's Small Animal Practice to administer medications, anesthetics, and to perform the above listed procedures on my pet. I understand the risks of anesthesia, dental, or surgical procedures and I acknowledge that no assurances or guarantees have been made to me as the result of today's anesthesia, and/or designated procedures.

PRE-ANESTHETIC BLOOD TESTING

Like you, our greatest concern is the well being of your pet. Although a complete physical examination will be performed prior to anesthesia, we require a pre-anesthetic blood profile screen for all pets to determine important information on your pet's internal health. As your physician would require of you prior to anesthesia, this will allow us to more properly evaluate your pet's basic condition, and to help us determine if we need to take additional precautionary measures with your pet. It also may indicate (even on a young animal) that we should avoid the procedure altogether until a discovered problem is corrected. State of the art equipment enables us to perform the pre-anesthetic blood profile within the hospital and we are committed to making this technology available to your pet.

PAIN MANAGEMENT

It is required that pain relief medication for all surgical patients be provided.

I HAVE READ THIS CONSENT FORM AND I UNDERSTAND ITS TERMS. I DO NOT HAVE ANY QUESTIONS AND I AUTHORIZE DR PAL'S SMALL ANIMAL PRACTICE TO PERFORM THE PROCEDURES.

Would you like to receive a phone call or a text message when your pet is read to go home: *

Signature of Owner *

Date *

Online Form

New Client Form

New Client Form

PROCEDURE CONSENTFORM

PRE-ANESTHETIC BLOOD TESTING

PAIN MANAGEMENT

Schedule an Appointment Today!

Have a Question?

We proudly serve the pets of Strongsville, OH and beyond.