Hub City Veterinary Clinic

Phone: (806) 701-5000

10717 Milwaukee Avenue, Lubbock, TX 79424

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  • Home
  • About Us
    • Hub City Vet Team
      • Veterinarians
      • Our Team
  • Hospital Tour
  • Pet Owners
    • Current Clients
      • Request an Appointment
      • Existing Patient – New Patient Form
      • Healthy Pet Admission Form
      • Dental Consent Form
      • Sick Pet Admission Form
      • Surgical Consent Form
      • Prescription Refill Request
    • New Clients
      • Before Your First Visit
      • What to Expect on Your Visit
      • New Client Form
      • Payments & Pet Insurance
      • Hospital Tour
  • Services
    • Adult and Senior Wellness and Preventive Medicine
    • AIS PennHIP Testing
    • Canine Rehabilitation
    • Chiropractic Medicine
    • Complementary Medicine
      • Laser Therapy
      • Acupuncture for Pets
      • Herbal Medicine
      • Regenerative Medicine
        • Platelet Rich Plasma
        • Stem Cell Therapy
    • Dentistry
    • Dermatology
    • Digital Radiology
    • Equine Wellness and Preventative Medicine
    • Flea and Tick Control
    • Heartworms and Internal Parasites
    • Immunizations
    • Microchipping
    • New Kitten and New Puppy Packages
    • Ophthalmology
    • Small Animal Wellness & Preventative Care
    • Ultrasound
    • TPLO surgery
  • Specials
  • Home Delivery
  • Emergency
  • Contact

Surgical Consent Form

  • General Patient History and Information

  • Please note if your pet is not current on their Rabies vaccination, they will receive a vaccine today.

  • Please note if your pet is not current on their Rabies vaccination, they will receive a vaccine today.

  • Please note if any fleas or ticks are found on your pet while in the hospital, they will be treated at an additional cost to you.

  • Procedural Information and Hospital Policy

    Pre-anesthetic Blood Testing: Pre-surgical blood tests along with physical exams will enable us to assess and minimize the risk of anesthesia to your pet by creating a protocol tapered to your pet’s needs.

  • Date Format: MM slash DD slash YYYY
  • A CBC (complete blood cell count) will be ran today prior to your pets procedure.
  • Monitoring:To minimize anesthetic risk, we monitor your pet’s heart rate, blood pressure, respiratory rate, temperature, and oxygenation throughout the procedure.

    Catheterization:For sterility, hair will be shaved over a vein on the leg so that an intravenous (IV) catheter can be placed. Blood pressure may lower during anesthetic procedures and fluid therapy aids in supporting your pet’s internal organ systems. It, also, allows immediate access to the vascular system in case of an emergency.

    Pain Management:The doctors will administer pain medications according to your pet’s needs before, during, and after the procedure. Some pain medications can incur an additional fee, ranging from $20-50.00

    Antibiotics:The doctors may administer antibiotics according to your pet’s needs. These medications may incur an additional fee, ranging from $20-50.00.

  • CPR

  • For the safety of your pet and others, we ask that all animals coming into the building be restrained by a leash or in a carrier upon arrival. Those individuals without proper restraint may request assistance upon arrival.

    Acknowledgements

    I am the owner or authorized agent for the pet described above and have the authority to execute this consent. By signing this document, I certify that I am over 18 years of age. I agree to make myself available by phone between the hours of 8:30am – 2:30pm.

    I hereby agree that I have been informed of and understand there are certain risks and possible complications associated with operations and procedures and the anesthesia or sedation associated with those procedures, and after being informed of the nature of the operation or procedures elected by me, I understand what will be done for my pet.

    I am mindful that while Hub City Vet provides the highest quality of anesthesia and surgical services, it is possible that during the operation/procedure, unforeseen conditions may arise that may require the performance of additional procedures deemed necessary by the veterinarian. I fully acknowledge and understand these risks, knowing that the hospital and the hospital staff will do all that is necessary to minimize these risks. Additionally, I authorize Hub City Vet Clinic to perform any such diagnostic, medical treatment, or surgical procedure as deemed necessary for any unforeseen medical or surgical complications if one should arise. I will hold harmless Hub City Vet Clinic, the veterinarian, or any hospital staff members liable for any complications that may or should arise in my pet’s medical treatment and care. I am encouraged to discuss any concerns I have about these risks with the attending veterinarian prior to the procedure taking place.

    I authorize the use of appropriate anesthesia and pain relief medications as needed before, during, or after the procedure. I have been informed that there are risks associated with the use of any medications.

    I understand the practice of veterinary medicine is not an exact science and thus, there are no warranty or guarantees that can be awarded to me as to the results or cure afforded by the treatments or procedures performed today. I have been awarded the opportunity to discuss any questions I may have regarding the care of my pet to my satisfaction, and it is my responsibility to do so. I accept that my financial obligation remains regardless of any outcome.

    I will not hold liable Hub City Vet Clinic, the veterinarian, or any hospital staff members for the loss or damage of any personal items (leashes, collars, blankets, etc.) that is left at the hospital. If I neglect to pick up my pet or any personal items within a 5-day time frame from the date below, Hub City Vet Clinic will assume abandonment of my pet or personal items.

    By signing this consent form, I agree to pay in full by the end of business today for services rendered, including those deemed necessary by the veterinarian for any medical complications or unforeseen circumstances. Furthermore, I understand regardless of the outcome of treatment, I am responsible for payment of the procedures performed today. If for any reason there are financial restrictions associated with this visit, it is my responsibility as the owner to notify a staff member immediately of such limitations.

  • This field is for validation purposes and should be left unchanged.

Our Location

Address

10717 Milwaukee Avenue
Lubbock, TX 79424

Phone: (806) 701-5000

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Hours:
Monday - Friday 8am - 5:30pm

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  • About Us
  • Our Team
  • New Clients
    • Payments & Pet Insurance
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  • Veterinary Services
    • Acupuncture for Pets
    • Adult and Senior Wellness and Preventive Medicine
    • AIS PennHIP Testing
    • Canine Rehabilitation
    • Chiropractic Medicine
    • Complementary Medicine
    • Dentistry
    • Dermatology
    • Digital Radiology
    • Equine Wellness and Preventative Medicine
    • Flea and Tick Control
    • Heartworms and Internal Parasites
    • Herbal Medicine
    • Hospital
    • Immunizations
    • Laser Therapy
    • Microchipping
    • New Kitten and New Puppy Packages
    • Ophthalmology
    • Platelet Rich Plasma
    • Regenerative Medicine
    • Small Animal Wellness & Preventative Care
    • Stem Cell Therapy
    • Ultrasound
    • What to Expect on Your Visit
  • Specials
  • Contact