Consent Information

Common:

· Scrotal bruising and swelling in males that resolves without treatment

· Self-inflicted trauma to the surgical site. This includes suture removal by the animal, skin infections caused by licking and other damage. Prevent these problems by purchasing an e-collar.

· Hematoma or seroma (non-painful swellings near the incision or in the scrotum) that resolve without treatment

· Minor swelling and redness around the incision that resolves without treatment

· * Figures recorded by Dr. Cobb based on 8000 surgeries.

· Other: There is also the possibility of unforeseen complications

Potential Complications of Spay/Neuter Surgery

Please call Ace of Spays. LLC at (609) 267-6770 if you have any questions

Rare:

· Anesthetic complications resulting in death (1/2500 animals*)

· Other anesthetic complications resolving with treatment (1/5000)

· Hernias in females-breakdown of the internal sutures (1/8000)

· Delayed wound healing (0)

· Urinary incontinence-dribbling urine/inability to control urination (0)

· Infections in the abdomen or the remaining small piece of the uterus (1/8000)

· Weight gain in females (0)

· Bleeding during or after surgery either internally, from the incision or from the vulva that can result in death.

· (1/1000 repaired surgically)

· Infection in the skin near the incision or sutures (1/8000)

· Adhesions or other complications which may impair gastrointestinal or urinary tract (0)

Vaccination Reactions

Recommended vaccines help protect your pet from deadly or potentially deadly and fairly common diseases. Muscle soreness, sluggishness, loss of appetite +/- mild fever are occasionally seen for a day or two after vaccination. On rare occasions, pets have an allergic reaction. Hives and/or facial swelling are the most common signs. Pets with these reactions should be treated promptly as the condition can, on very rare occasions progress. On extremely rare occasions, pets have allergic shock reactions to shots. This may be seen as difficulty breathing, weakness, collapse or even death. These reactions generally occur within 5 minutes of vaccination but can take longer. These reactions can occur in pets that have been vaccinated in the past without problems. Pets can develop sarcomas (tumors) at the injection site (reportedly 1/10,000 shots). These tumors are most frequently reported with rabies vaccines and feline leukemia vaccines (reportedly 1/1000 shots). They are very difficult and expensive to treat and can result in the need for euthanasia. There are also reports of dogs developing immune mediated anemia from vaccinations. This appears to be rare but can be deadly.

Consent Paragraph

I am the owner, or the authorized agent for the owner, of the animals described on this form, and I have the authority to execute this consent. I hereby give Dr. Lori Cobb, Ace of Spays, LLC and any authorized agents, staff, or representatives consent and authority to perform spay/neuter surgery. This surgery, which requires general anesthesia, involves the removal of the uterus and ovaries in females and removal of the testicles in males. I understand what will be done. I also understand that my pet will not be checked for pregnancy prior to surgery and that, if pregnant, fetuses will be aborted. I have been informed that there are certain risks and complications associated with any operation or procedure of this type. I have read “Potential Complications from Spay/Neuter Surgery” and “Post-Operative Care Instructions.” My questions, if any, have been answered. I further understand that during the course of the operations or procedures, unforeseen conditions may arise that may necessitate the performance of additional procedures. I authorize the use of appropriate anesthesia and pain relief medication as needed before or after the procedure. I have been informed that there are risks associated with the use of any medication. I understand that the veterinarian performs all surgeries and utilizes clinic support personnel as deemed necessary. I understand that I am financially responsible for all post-operative veterinary care whether it is provided by Ace of Spays, LLC or another veterinary facility. I agree to pick up my pet before the closing time listed on my paperwork or I will pay $20 per 15 minute interval until I arrive in order to compensate tired staff. If I have indicated I want vaccinations, I hereby consent to having my pet vaccinated for the diseases indicated. I have read and understood to my satisfaction “Vaccination Reactions”