A light-colored Labrador Retriever lies on a fluffy white rug with its tongue hanging out.

Surgery and Anesthesia Consent Form

Complete this consent form before your pet’s scheduled procedure at Crown Pointe Animal Hospital in Orléans. It gathers important information about medications, allergies, feeding, emergency contacts, and treatment authorizations to help our veterinary team prepare for your dog’s or cat’s surgical care.

Complete Your Pet’s Consent Form

Review the estimate and answer every applicable question before submitting the form. You must remain available by phone while your pet is in our care. If you have questions about the form or deposit requirements, contact our hospital.

Dear Client,


Your pet is scheduled for an upcoming surgery. To assist all of us in making the surgery day as easy and stress-free as possible, we have put together some simple forms for you to sign and review in advance.

Please carefully go over all forms provided. If you have any questions, please feel free to call or email the hospital at (613) 845-0254 / cpahvet@crownpointeanimalhospital.com. On your pet's surgery day, you will be required to review and sign an Authorization/Estimate Form. We will also double-check to ensure we have a phone number where you can be reached during your pet's surgery time.


The night before your pet's surgery, we ask that you refrain from providing any food or treats after 10 PM. Water is fine and may be left out for your pet to consume. If you are currently administering any medications, vitamins, and/or injections, withhold the morning doses unless otherwise instructed by the doctor.


At the time of your pet's scheduled surgery, the doctor will address any remaining questions or concerns you may have and will collect the Authorization Form that you have completed.


If you have elected to have any of the recommended blood tests performed, these will be collected and done prior to the start of surgery, if not already performed in advance. If any questions arise, the doctor may contact you at the number on the Authorization Form.


Upon the completion of the surgery, the doctor will process your payment, go over all discharge orders verbally, and provide you with a written copy. If you do not understand any instructions, please do not hesitate to ask for clarification prior to or after your departure.


We know surgery days can induce stress and anxiety. Crown Pointe Animal Hospital appreciates the trust you place in us, and we want to make the experience as pleasant as possible for both you and your pet.


We look forward to serving you and your pet on the upcoming surgery day.