Bethel Animal Health

(513) 734-7729 | 120 E Plane St Bethel, OH 45106

Online Pharmacy Telehealth Pet Portal Vaccine Clinic
Menu
  • Home
  • About
    • Our Team
    • Testimonials
    • Mental Health Resources
    • Rescue Work
  • New Clients
    • Online Forms
    • FAQs
  • Clinic Policies
  • Appointments
  • Services
  • Contact

Dental Consent Form

  • ** OWNER OF THE PET MUST BE THE ONE FILLING OUT PAPERWORK, IF THE NAME ON THE PAPERWORK DOES NOT MATCH THE ACCOUNT WE WILL NOT PROCEED WITH SURGERY. We are a flea free hospital, so if we notice fleas your pet will be administered Capstar that last 24 hrs. It will be an additional $6
  • Date Format: MM slash DD slash YYYY
  • AgeMale / FemaleBreed / Color
  • Dental Cleaning
  • Extractions (Only as Necessary)
  • I understand that anesthesia may be used and that with anesthesia there is always a risk, although minimal, of an allergic reaction or even death of the animal. A brief pre-surgical exam will be done on all animals prior to surgery to assess surgery risk. However, it is YOUR responsibility to notify us of any additional health concerns that you are aware of. Any animal found to be at risk for surgery will not be operated on until the owner has been notified of the concern. The nature of the surgery/ procedure has been explained to me satisfactorily. I assume all financial responsibility for all services rendered and payment will be expected at the time of the patient’s release.

    ***Pre-Surgical Bloodwork ($18): This doctor recommended bloodwork is for all animals. It tests four levels in your pet’s blood and will be done prior to sedation. It not only helps us better assess anesthesia risk, but will also help us monitor your pet’s health while they are with us. This bloodwork evaluates: kidney function, red blood cell level, blood protein, and blood sugar levels.

    Please check to consent to one or the other.
  • Anesthesia Consent

  • It is our goal to keep all procedures as reasonably priced & as safe as possible. Our base price includes the services that we feel are most important for a successful surgery and comfortable experience for your pet. There are several other services that we feel are important to offer for safety & comfort. They are available at an additional fee

    1. IV catheter - The IV catheter provides quick access to the veins in case of an emergency and assists in administration of IV medications. Fluid therapy can help stabilize and support healthy blood pressure.

  • 2. Elizabethan Collar - This is a lamp shade cone that goes on your pet's neck to prevent licking/chewing of the surgical site. An e-collar is highly recommended to prevent post-operative damage to the surgical site. The owner is held financially responsible for all post-operative care needed as a result of not purchasing and e-collar or other post-operative needs.

  • 3. Additional Anesthesia monitoring package - (Electrocardiogram & blood pressure)

    All surgical patients are monitored with a pulse oximeter, which reads their heart rate and blood oxygen levels during surgery. The additional monitoring package includes additional electrocardiogram (ECG) and blood pressure monitoring. An ECG assesses the heart function during anesthesia.

  • I certify that I own the above described animal and authorize Bethel Animal Health to hospitalize/treat said animal. During this time they may administer vaccinations, medications, tests, surgical procedures, anesthetics, or treatments they deem necessary for the health, safety, and wellbeing of my pet while the care and supervision of the hospital. I understand there are inherent risks associated with anesthetics, medical and surgical procedures, including death. I authorize the doctors of Bethel Animal Health to initiate care to address complication, should they arise while under their care. In the event of an emergency, the hospital will make every reasonable attempt to contact me so that I am aware of the situation, so I am involved in medical decisions. The contact phone numbers in my chart are correct. If my pet should injure itself in an escape attempt, refuse food, soil self, become ill, or die while in the hospital, I will hold Bethel Animal Health and staff free of all responsibility and/ or liability in the absence of gross negligence.

    I further realize that I am responsible for payment of all above mentioned procedures/ treatments in full at the time of my pets discharge. If I neglect to pick up my pet within 7 days of notice that my pet is being released, Bethel Animal Health may assume that the animal has been abandoned. In such instances, Bethel Animal Health is then authorized to take care of my pet as they see fit, including euthanasia or adoption. Abandonment however, does not release me of the responsibility of my obligation for payment of said bill.

    Please bring any medical records with you. All cats should be in carriers.

Testimonials

Very professional, great with our dog, Ruby. Very caring, and friendly. Great staff, of... read more

Tom H.

We drove from Dayton to be seen by these folks! Wonderful first experience now we’ve drove down again for the procedure. So kind , caring and... read more

Lilly C.

They took great care of my Tessie..she went in to get spayed, vaccines, and chipped..all for 160.00. Worth every... read more

Dawn S.

Great friendly place and reasonable prices, great with my... read more

Reba W.

They were great. Very nice, and took the time to explain things. They saved us money and time cause they were honest and said stuff could wait. They... read more

Michael M.

Tom H.

Very professional, great with our dog, Ruby. Very caring, and friendly. Great staff, of people.

Lilly C.

We drove from Dayton to be seen by these folks! Wonderful first experience now we’ve drove down again for the procedure. So kind , caring and thorough...

Dawn S.

They took great care of my Tessie..she went in to get spayed, vaccines, and chipped..all for 160.00. Worth every penny!!!

Reba W.

Great friendly place and reasonable prices, great with my dogs.

Michael M.

They were great. Very nice, and took the time to explain things. They saved us money and time cause they were honest and said stuff could wait. They just became my dogs vet. I could not be happier!!!

Our Location

Bethel Animal Health

120 E Plane St
Bethel, OH 45106

(513) 734-7729

    Follow Us:

Get In Touch

  • This field is for validation purposes and should be left unchanged.
Sitemap | Accessibility | Website by DOCTOR Multimedia
Font Resize
Contrast
Accessibility by WAH
  • About
  • Accessibility
  • Anesthesia Consent Form
  • Appointments
  • Clinic Policies
  • Contact
  • Dental Consent Form
  • Drop Off Appointment Consent Form
  • FAQs
  • General Consent Form
  • Home
  • Mental Health Resources
  • New Clients
  • Online Forms
  • Our Team
  • Preventative Information
  • Rescue Work
  • Services
  • Sitemap
  • Surgical Consent Form
  • Testimonials
  • Thank You
  • Vaccine Clinic
Call Us Text Us