Online Forms

Derry Heights Animal Hospital offers our patient form(s) online so you can complete it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Email us your printed and completed forms, or bring it with you to your appointment.
  • Alternately, send us your email and we can email you the specific forms you will need to read through before coming in for surgery if your pet is scheduled.

New Patient Registration Form - Required

This let's us record our pet and owners into our management software to start a file so that we can book an appointment for your pet. It is not mandatory but will help ensure accurate information. Our staff will provide you with a different more detailed information request sheet from our clinic when you arrive for your appointment so that we can effectively and efficiently provide the service you deserve! (You can request to have a sheet emailed to you as well if you prefer to complete ahead of time). 

Download & Print Form

Surgical Information Packet - Optional

This is a generic optional form prepared used by some clinics that let's us know the history and current state of your pet's health. It also provides you with some information you may find very helpful prior to surgery. Give it a read through. What questions, concerns, goals, regarding wellness can we help you with? Please let us know during your pre-surgical exam and again when you drop your pet off for surgery if anything comes to mind! Our staff can provide you with our customized surgery information for our clinic during one of your visits here before their surgery that are more specific to your pet and based on any exam findings or recommendations by the vet. 

Download & Print Form


Spay and Neuter Surgery information

The cost of our basic spay/neuter surgeries includes sedation, anaesthesia, surgical procedure, one pain injection to last 24 hrs, hospital stay & care for the day, and 1 re-check exam with suture removal. Upon dropping off your pet for surgery, you will be presented with consent forms to complete and sign (and confirm your pet was fasted). One of these forms will have an option of accepting or declining extra 'add-on' procedures to be done in addition to the basic spay/neuter procedure. As a minimum necessity, all dogs or cats having a spay or neuter surgery must go home with an E-Collar/Cone and take home pain medication at a small extra cost specific to their weight, species, and medical history. Anything else is also extra. If you have questions, please contact us. 

Explanation of Extra Add-On Procedure(s) Strongly Recommended With Most Surgeries    

  1. Pre Anesthetic Blood Work: To be done a minimum 24 Hours before surgery or sedation to allow time for laboratory testing at an off site lab. We usually advise testing within the 1-2 weeks prior to surgery. The anesthetics that we use are extremely safe and the risk is minimal, however if a pet is not completely healthy then potential complications can occur both during and after the anesthetic procedure.  Blood work allows the veterinarian to evaluate your pet's internal organ function and blood cell counts, something which cannot be assessed during a general physical exam.  The liver or kidneys are responsible for clearing the anesthetics used during a procedure, so monitoring organ parameters can help minimize the risks of anesthetics by ensuring that these organs are functioning properly. Platelets are responsible for clotting after incisions are made, and red blood cells help transport oxygen to lungs while removing carbon dioxide from the body, so ensuring adequate levels is important for these as well. While performing blood work cannot guarantee that your pet will not have any problems with the anesthesia or surgical procedure, it can significantly minimize the risk to your pet. Although bloodwork is usually optional for younger pets like puppies and kittens, the older your pet is, the more likely it is you will be required to have pre-anesthetic blood work done before any kind of sedation can take place. Bloodwork is normally always required for pets 5 years of age or older, or pets with certain medical conditions. 

  1. IV Fluids: The placement of an IV catheter provides us with immediate access to a vein for administering emergency drugs and/or fluids.  IV fluids are a vital safety precaution for every anesthetized patient, and even more so for older pets and those undergoing lengthy procedures requiring sedation. Additional fluids are important because they help protect your pet's kidneys and help to maintain normal blood pressure while anesthetized, allowing all vital organs to receive the blood they require to function properly. They also help the body flush anesthesia drugs out of their system much more quickly, making for a more comfortable post surgical recovery from sedation.* All animals receiving IV Fluids will have a small patch of hair shaved on the front  or back leg(s) for catheter placement.*

  1. Pain Medication (Take-Home): Proper pain control aids in the recovery of your pet.  The type of analgesic (pain medication) chosen is determined on an individual basis.  It can help your pet feel more comfortable, less stressed and aid in the reduction of inflammation.  Pain control should be done under a veterinarian's supervision only.  Medications that work for you may in fact be harmful or toxic to your pet. If your pet should seem painful at home after surgery, please contact your veterinary clinic to discuss options. Although all pets receiving surgery receive a pain injection that generally lasts about 24 hours, additional medication to take home with your pet is an additional cost based on exact weight, and is required with most surgeries for at least a few days following the procedure depending on what your pet has had done.

  1. Elizabeth Collar (The "Cone"): In most cases, a pet that has had an abdominal surgery is required to go home with an e-collar. It is an inexpensive extra cost based on the individual diameter of your pets neck and length of their snout. You must keep this on your pet until healing is complete to prevent licking the surgical incision and possible exposing the incision to infection. As the incision starts to heal it will become itchy and your pet could remove the stitches prematurely. This is why it is important to keep the e-collar on until the stitches are removed, usually at least 10 days. If you already own an E-Collar or soft-collar of some sort for your pet and it is brought with them at time of drop off for surgery, you will not have to purchase one from the clinic.

  1. Antibiotic Injection: Infections remain a complication of surgical procedures.  It is a small cost, but preventive antibiotics given before or during surgery have been shown to decrease the occurrence of infection at the site of the surgery.  Antibiotic therapy coupled with proper aseptic surgical techniques in the operating room and during post-surgical care significantly reduce the risk of infection and the chance of having to bring your pet back to the hospital for additional treatment.

  1. Microchips: It is a peace of mind knowing your pet will be quickly found. Protection for travel, proof of ownership in case pet is stolen, lost, or found injured without visible identification. Microchips are inexpensive, tiny, rice-sized computer chips that are implanted in your pet under the skin between their shoulder blades, each with its own unique identifying number to easily identify your pet. In a quick and simple procedure, they are inserted with a hypodermic needle; much like when your pet receives a vaccine. They cannot be seen or felt after insertion; and are only detectable by a microchip scanner which most if not all veterinary clinics and animal shelters always have on hand to scan lost and found pets. Additionally, most municipalities give significant annual discounts on cost of pet licencing fees to owners of pets who have a microchip. 

***Although most of the above procedures are optional in younger pets like puppies and kittens or pets under 5 years of age, they are ALWAYS strongly recommended and sometimes required for pets with certain medical conditions*** 

***Reminder: All pets should be fasted for 12 hours before surgery****

*** All pets scheduled for surgery MUST be up to date on their Rabies vaccination status & have a pre-surgical exam***

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