Procedure(s) to be performed today: (required)
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Your pet will be undergoing general anesthesia today. In order to recognize any hidden problems your pet may have, we recommend running a preanesthetic blood profile.
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This consists of a CBC (Complete Blood Count) which will check blood cells, and a chemistry profile to check blood glucose, and kidney and liver enzymes.
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These blood tests will help us more completely assess the health status of your pet and determine if there are any additional precautions we need to take before anesthesia.
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For any pet over 7 years of age, we highly recommend a geriatric work-up which includes the blood profile plus a urinalysis, an EKG, and a chest X-ray.
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There is an additional charge for these tests, but we know you understand the value of having these tests performed.
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CBC AND CHEMISTRY PROFILE (SA050).....$73.43 (required)
Yes
No
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GERIATRIC WORK-UP (CBC/CHEMISTRY PROFILE, URINALYSIS, EKG, CHEST X-RAY)......$335.30 (required)
Yes
No
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Name: (required)
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(required)
(I agree that my electronic signature is the legal equivalent of my manual signature)
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Date: (required)
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Contact Phone Number(s): (required)
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