Consent to Treatment or Surgery

In light of the current Coronavirus (COVID-19) outbreak, we are changing the way we admit your pet for their treatment or surgical procedure to minimise contact.

  • We will no longer be taking you through to a consulting room to talk you through the consent form
  • Please complete the online consent form below the day before surgery
  • If you have any questions which you would like to ask, please type these into the form
  • One of our Vets or Nurses will meet you in the reception area to take your pet through to our Kennels or Cattery
  • The Vet or Nurse admitting your pet will answer any questions you have asked below

For more pre-operative instructions for your pets, please click here

Thank you, we really appreciate your support.

Consent to Treatment or Surgery
For the day of the procedure

I hereby give permission for the administration of a general anaesthetic and appropriate drugs to the above animal for the surgical procedure which they are booked in for, together with any other procedures which prove necessary.

I understand that all anaesthetic and surgical procedures pose a risk to the animal and that we cannot foresee any associated complications.

I understand that the Wallace Veterinary Centre shall try to contact me if any different treatment is recommended but if unable to do so shall do what they think is in the best interest of the above animal.

I understand that I need to fast my pet from midnight before the procedure? *
Does your pet have any health problems that we are unaware of? *

For Dogs over the age of 10 and Cats over the age of 13 we recommend pre-anaesthetic blood test to check liver and kidney function.

We also recommend fluids to maintain blood pressure and reduce affects of anaesthetic on the organs.

The costs of these are as follows:

Blood Test - £57.60

Fluid - £48.00

Would you like us to carry out a pre-anaesthetic blood test? *
Would you like us to use fluids throughout the procedure? *

By signing below you are agreeing that you are the owner of the above named animal or are authorised by the owner and that you acknowledge that payment for this procedure is due on collection.