Date*

Owners Name*

Name

Patients Name*

Name

Phone Number*

Alt. Number

Email*

Why did you bring your Pet in today? Please be detailed

What did you bring with your Pet today?

Carrier
Leash
Collar
Harness
Other

Would you like your Pet to have a

Nail Trim
Ear Cleaning
Anal Gland Expression

Surgery Package:

Our surgery package includes a pre-anesthetic exam, pre-anesthetic bloodwork, anesthesia, anesthetic monitoring, pain medication, post-operative care and hospitalization

Prices 0-40lbs: Over 40lbs is an additional $62

Spay

Dog $320.00
Cat $270.00

Neuter

Dog $280.00
Cats $184.00

Dental Cleaning

Dog $340.00
Cat $280.00

Please Check only if you DECLINE the surgery package

Prices without Bloodwork 0-40lbs (includes pain injection): Over 40lbs is an additional $62

Spay

Dog $220.00
Cat $170.00

Neuter

Dog $180.00
Cat $94.00

Dental Cleaning

Dog $2200.00
Cat $180.00

Cat Declaw

Front Two $250

Take Home Pain Medication (Optional): Oral pain relievers to be given for a few days after surgery to help ensure that your pet is comfortable at home. Estimate Price Range $25-30

Yes
No

Other service available while your pet is under anesthesia:

Microchip: This radio-frequency transmitter technology helps identify your pet if they become lost or stolen. $49

Yes
No

Ear Cleaning: Routine ear cleaning can prevent wax and dirt buildup that can lead to infection. $18-20

Yes
No

Anal Gland Expression: If your pet is licking, chewing or scooting, these glands may have become blocked and need to be manually emptied by the doctor. $20

Yes
No

Consent*

Surgery Drop Off Form

Surgery Package:

Other service available while your pet is under anesthesia:

Have a Question?
Need to book an appointment?

Connect with us and one of our team members will be happy to assist you.

Location

2901 Kaliste Saloom Road.
Lafayette, LA 70508

Phone: 337-456-8010

Hours

Mon-Thurs 7:30 – 5:30
Friday 7:30 – 5
Every other Saturday 8 to 12

Surgery Drop Off Form

Surgery Package:

Other service available while your pet is under anesthesia:

Have a Question? Need to book an appointment?

Connect with us and one of our team members will be happy to assist you.

Location

2901 Kaliste Saloom Road. Lafayette, LA 70508

Phone: 337-456-8010

Hours

Mon-Thurs 7:30 – 5:30 Friday 7:30 – 5 Every other Saturday 8 to 12

Have a Question?
Need to book an appointment?

2901 Kaliste Saloom Road.
Lafayette, LA 70508

Mon-Thurs 7:30 – 5:30
Friday 7:30 – 5
Every other Saturday 8 to 12