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Vet Services
Patient Registration (New & Current)
Surgery
Dentistry
Hyperthyroidism
Labs
Boarding
Grooming
Staff
Online Store
Blog
Contact Us
Employment Opportunities
PAY NOW
Dentistry
Dentistry
Your pet’s teeth are an important part of their overall health. We offer complete dental services using the most advanced equipment. This includes ultrasonic scaling, polishing, and root canals.
Keep Those Teeth Strong
Dental Form
Anesthesia Disclaimer
Most anesthetic agents are relatively safe or they would not be used. But, all animals don’t react the same to drugs. So there is a small element of risk involved in placing an animal under anesthesia. I understand and am willing to accept this risk. I give permission for anesthesia to be used on ______________________________________.
Pet Name
(Required)
Owner Name
(Required)
First
Last
Date
(Required)
MM slash DD slash YYYY
Permission Statement
I give permission for a Dental Cleaning to be done on the above animal. I understand Grayson Valley Pet Clinic will do their very best but there are no guarantees as to the outcome of the procedure(s).
Owner
(Required)
Phone
(Required)
Safety Disclaimer
At Grayson Valley Pet Clinic we strive to make our dental procedures as safe and risk free as possible. In order to do that, we recommend the following pre-operative tests. Please indicate the services you would like your pet to have. Also, while we have your animal sedated for the procedure we may find that some teeth need to be pulled or other issues need to be addressed. Additional costs will occur for those issues.
Post Op Pain Medication
Yes
No
CBC and Profile ($100)
Yes
No
EKG Monitor ($25)
Yes
No
IV & Catheter & Fluids ($45)
Yes
No
Dental X-Rays ($85)
Yes
No
Permission Statement
While we have your animal sedated, we may find that additional services are needed. We will try to call the owner at the number provided today. If we are unable to speak with someone, please place your initials in the appropriate box.
Permission Checkbox
Do additional services even if can’t get in touch with owner. I do acknowledge that there will be additional charges.
Do not do any additional services without permission of the owner.
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