Forms

Pre-Anesthetic Tests:

Most of us are concerned about the safety of anesthesia performed on our pets. In addition to the physical exam, we would like to screen for internal problems that we cannot detect on the physical exam. We advise a general pre-anesthetic health screen of internal organ function prior to anesthesia. Save an additional $10 to $15 by bringing your pet in early for pre-anesthetic testing.

Relative age of your pet in human years:

Adult	Age	1-20 lbs	21-50 lbs	51-100 lbs
Adult	6 yr.	40	42	45
Golden	7 yr.	44	47	50
Golden	8 yr.	48	51	55
Senior	9 yr.	52	56	61
Senior	10 yr.	56	60	66
	11 yr.	60	65	72
	12 yr.	64	69	77
	13 yr.	68	74	82
	14 yr.	72	78	88
	15 yr.	76	83	93
	16 yr.	80	87	99
	17 yr.	88	96	109

Pre-Anesthetic Forms:

► Adult Pre-Anesthetic Form for Cats (pdf)

► Golden Pre-Anesthetic Form for Cats (pdf)

► Senior Pre-Anesthetic Form for Cats (pdf)

► Adult Pre-Anesthetic Form for Dogs (pdf)

► Golden Pre-Anesthetic Form for Dogs (pdf)

Download Forms

► Senior Pre-Anesthetic Form for Dogs (pdf)