HSSCG Clinic

Surgical Request Form

For confirmed appointments only.

Please complete this form only if you already have a confirmed surgery appointment. To request a new appointment, visit the Request an Appointment page.
Name*
Address*
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Rabies Vaccine ($25)*
Microchip ($35)*
Topical Flea Prevention ($15)*
Nausea is a common side effect after anesthesia and surgery. We can give an injection while your pet is sleeping that will help prevent nausea for 24 hours. Cerenia is HIGHLY recommended but not required*
Please read and check the following boxes:*

SURGICAL CONSENT:

DISCLAIMER: By typing your name below, you are signing this application electronically.

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