If you have multiple pets, please fill out multiple forms

  • NameSexBirthdayBreedColorWeight
  • FOR ALL ANIMALS: I hereby request Animal Spay & Neuter to surgically sterilize my animal. I have had the opportunity to ask questions regarding the surgery and the risks involved. I understand that there is a risk in any surgery, that no pre-op blood work is offered and that the surgery is performed with a general anesthetic. Not withstanding the risk, I request the surgery. I hereby declare under penalty of perjury that I am the owner, or authorized by the owner, to present for operation the above animal.
  • It is OK to treat my animal for: Earmites, Foxtail removal, Ear flush, Abscess, Cryptorchid, persistent deciduous (baby) tooth extraction, if needed (fees vary).

    I understand that I must pay for the actual surgery cost at time of the appointment. The payment is NON refundable if I do not show up or cancel at the last minute. I also understand that there may be additional charges for other services.

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