Bellevue Veterinary Hospital, Parksville

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(250) 248-2031

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Pre-procedure Questionnaire


Consent Form Questions:

This general questionnaire includes questions/info we may have, at the time you drop off your pet for their procedure.  It is not necessary for you to reply in advance, but it may be helpful to consider these things ahead of time, especially if you prefer to speed things up, at admitting time.



1. Contact phone number THIS IS THE MOST IMPORTANT QUESTION.  PLEASE BE AVAILABLE FOR A PHONE CALL IN CASE WE HAVE ADDITIONAL QUESTIONS OR FINDINGS TO REPORT TO YOU. 

2. Is the pet fasted?
Cats and dogs should have no food for 8 hours prior to admission, but water is OK right up to time of admitting;
exceptions: bunnies [and any animals under 2kg body weight] are NOT fasted.

3. Has there been any change to your pet’s health recently? Anything new that we should know about? (loss of appetite, unintended weight loss, diarrhea, vomiting, cough, or any other symptoms of illness?)

4. If your pet is female, & coming in to be spayed, has there been a recent heat? How long ago? Could she be pregnant? Have there been previous litters?

5. Is your pet on a flea preventative?  They will receive a flea treatment (effective for 24-36 hours) if we find fleas on them.  There will be a charge for this.  Ideally this is to prevent flea infestation of any patient staying in the hospital at the same time.
Please let us know if you have questions about flea products. There are longer duration products we can discuss and set up, if you wish. 

6. We will ask you about additional tests/procedures while your pet is in our care?
-where applicable:

Pre-op bloodwork?  (recommended before anesthesia, but usually optional)

Tattoo while under anesthesia?
- for identification in case your pet goes wandering, but not easy to trace outside of the province

Microchip?
- for further identification in case your pet goes missing - effective I.D. for travel outside of the province

7. Is your pet on raw food ? (Some of our staff are at potential risk when exposed to these animals and we need to be alerted to that.)

8. Does your pet have any medical conditions or allergies? On any medications? Have any special feeding requirements?

9. Is your pet up-to-date on vaccinations?

These are some questions we might need to ask at the time your pet is admitted for a procedure. Perhaps some of the answers are already evident in our records, but when that's not the case, we'll need to update our information.

And yes, we DO trim nails (if needed) while they are under anesthesia (no charge).

Thanks!

Tags: Surgery, Anesthesia, Blood tests, Identification