Dental Consent Form

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What excretions did your pet do*



Anesthetic Procedures

At Hill Country Veterinary Hospital every anesthetic procedure will include pre-operative bloodwork, peri-operative fluids, IV catheter and state-of-the-art anesthetic monitoring to ensure the utmost safety of your pet during all surgical procedures.

I hereby authorize anesthesia/surgery for my pet. I understand that some risks always exist with anesthesia and/or surgery and that rare complications may arise, including anesthetic death. I acknowledge these risks and understand that the veterinarians and hospital staff will try to minimize such risks. I will not hold Hill Country Veterinary Hospital, the veterinarians, or any staff member liable for any complications that may arise.

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Should for any reason my pet need additional care due to unknown illness or emergency*


Dental Extractions

Depending on the degree of dental disease present, extractions may be necessary during your pet’s dental prophylaxis. These extractions range in prices from $15.00 for a simple extraction to $120.00 for a surgical extraction.

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I give Hill Country Veterinary Hospital permission to give pain medication*


If a mess is suspected to be a concern, it can be sent out for histopathology ($223.00)*


I would like my pet to receive a microchip. Cost of implantation & microchip ( $60.00)*


Full payment is expected at time service is rendered.

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    Call us or schedule an appointment online.

  • 2

    Meet with a doctor for an initial exam.

  • 3

    Put a plan together for your pet.

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