Skip to content
1200 Welsh Road
Home » Forms » Hospital Authorization Form
We recommend postoperative therapeutic laser treatments for pets having orthopedic procedures. The therapeutic laser is an application of light energy at the area of surgery to stimulate healing and reduce inflammation and discomfort.
We recommend a postoperative laser package that includes 6 postoperative treatments that will be performed every other day.
If applicable, your pet will go home wearing a post surgical collar (e-collar)to deter him/her from licking or biting at the suture or incision area. The cost of this collar has been factored into your pet’s treatment plan. We have an upgrade option of a Comfy Cone, which are softer and easier to adjust. (Price difference is an additional $10-$30 depending on size of collar)
Depending on the location of the incision, we also offer After Surgery Wear as an alternative to an e-collar. (Price difference is an additional $10-$20 depending on the size)
Estimates for oral surgery and periodontal treatments are given based on the preliminary oral exam on the awake patient. However we cannot give an accurate estimate for these procedures until we have cleaned the teeth, taken radiographs, and done an in depth exam of the oral cavity under anesthesia.
If oral surgery or periodontal treatments are required, we will call you while your pet is under anesthesia to discuss the treatment options, and give you an updated estimate. We will not perform any procedures without consent, therefore if we cannot reach you or another authorized person by phone we will have to wake your pet up from anesthesia, and the procedures will be performed at another time.
Authorization: Please read, consent and sign below.
I, the undersigned owner or authorized agent of the owner, certify that I am over eighteen years of age and hereby consent and authorize North Penn Animal Hospital to perform the above described procedures and services. Furthermore, I agree that after consultation with me, the hospital’s doctors may prescribe medications for, treat, hospitalize, sedate, anesthetize and or perform surgery of this animal. I understand that some risks always exist with anesthesia and or surgery and that I am encouraged to discuss any concerns I have about those risks with the attending veterinarian before the procedure is initiated.
If my pet is hospitalized beyond this day at this facility, I understand that veterinary care during nighttime hours and/or weekends is provided at the discretion of the attending veterinarian. Continuous presence of hospital personnel is not provided overnight or throughout the weekend. If you are uncomfortable with this, please speak to your attending veterinarian.
I further agree that either I, or an authorized agent of mine, will pick up this pet and pay for all accrued charges when my pet is discharged from North Penn Animal Hospital. I assume full financial responsibility for all expenses involved including monthly billing and services charges that will be added to my invoice if special billing arrangements have been made. Our payment options are Cash, Personal Check, Debit, Visa, MasterCard, American Express or CareCredit.
December 30, 2020
February 16, 2021
September 17, 2020
We are closed every Wednesday from 2-3 pm for a staff meeting. Should you have an emergency, please call our office.
© Copyright 2021 North Penn Animal Hospital - Lansdale, PA | Powered by Lifelearn WebDVM®4 Veterinary Websites