Harrison, OH 45030


(513) 367-4806
harrisonanimalhospital@yahoo.com


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(513) 367-4806
harrisonanimalhospital@yahoo.com

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Book Appointment

Home
About Us
Services
Resources
- Payment Options
- Online Forms
Careers
Online Pharmacy
Contact

Surgical and Anesthesia Consent Form

Save time during your appointment! Complete your required forms online from any device at any time before your visit.

Surgical and Anesthesia Consent Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.

OR

Please click on the Download Form button to print and complete the information and bring it to the hospital at the time of your appointment.

Owner’s Name *

First

Last

Email *

Pet's Name *

Procedure

I hereby authorize Harrison Animal Hospital to perform the above-listed procedure(s) on my pet. I am aware and understand that there are risks involved in any procedure and realize that no guarantee or warranty can ethically or professionally be made regarding the results or cure. Additionally, I authorize Harrison Animal Hospital, in an emergency situation, to render care necessary for the well-being of my pet until further communication with me.

ALL SERVICES RENDERED MUST BE PAID IN FULL BEFORE THE PET CAN BE RELEASED FROM THIS HOSPITAL

A pre-anesthetic exam is recommended for all new patients. This costs $52.50. *

Yes
No

Please type your name below to confirm you would like a pre-anesthetic exam: *

Many of the drugs used for anesthesia are removed from the body by the liver or kidneys. Our onsite laboratory allows us to screen for hidden problems before your pet’s procedure begins, so steps can be taken to ensure the safest procedure possible. These tests are even more important as your pet ages. The costs are as follows:

Pets 3 to 8 years of age: complete chemistry and CBC for $116.60
Pets 9 years and older: complete chemistry, CBC, urinalysis $148.40

Intravenous Fluid Therapy is recommended for all surgical patients, as it helps to prevent dehydration, maintain blood pressure, and provide a lifeline in the event of an emergency. The costs are as follows:

Intravenous fluid therapy for $78.75+ (Additional charges could apply if your pet requires prolonged fluid therapy throughout their procedure and/or hospitalization)

A heartworm test is advised on all dogs older than 6 months and not on year-round preventative.

Heartworm Test $25.00
4dx = heartworm, anaplasmosis, ehrlichia, lyme $42.40

Feline Leukemia and Feline AIDS tests are advised for all cats new to your home or not previously tested or vaccinated. This costs $37.32

Yes
No

Please type your name below to confirm you would like Feline Leukemia and Feline AIDS tests:

Please check if you wish any of the following:

Toe Nail Trim $18.40
Home Again Microchip $54.00
Elizabethan Collar $19.00

Signature of Owner or Responsible Agent *

Clear Signature

Date *

Ready to Visit?

Please give us a call at (513) 367-4806 to schedule an appointment for your pet today!

Book Appointment

Have a Question?

Get in touch! We look forward to hearing from you.



Address

102 May Dr. Harrison, OH 45030



Contact Information

Phone: (513) 367-4806
Fax: (513) 367-4946
Email: harrisonanimalhospital@yahoo.com



Hours

Monday-Friday: 8:00 am – 6:00 pm
Saturday: 9:00 am – 5:00 pm
Sunday: 10:00 am – 4:00 pm
(Emergencies Only)

Name *

First

Last

Email *

Phone

How can we help you? *

Name

We Proudly Serve the Pets of Harrison, OH, and Beyond

Cincinnati, OH
Lawrenceburg, IN
Batesville, IN
Brookville, IN
Rising Sun, IN

Hebron, KY
Florence, KY
Burlington, KY
Western Hills, OH
Hamilton, OH

We Proudly Serve the Pets of Harrison, OH, and Beyond

Cincinnati, OH
Lawrenceburg, IN
Batesville, IN
Brookville, IN
Rising Sun, IN
Hebron, KY
Florence, KY
Burlington, KY
Western Hills, OH
Hamilton, OH

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