• 248-642-2050
  • 880 West Long Lake Road Bloomfield Hills, MI 48302
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Ross Hospital for Animals
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Dental Anesthesia Consent:

  • Your pet will be scheduled for a procedure that requires anesthesia. Though very unlikely, anesthesia inherently carries some risk. Therefore, we would like to take this opportunity to explain why pre-anesthetic blood testing will be performed and why it is important to the health of your four legged family member. The anesthetic agent is removed from the body by the liver and kidneys, so it is important to know before anesthesia that these organs are functioning well. Like you, our greatest concern is the well-being of your pet. Before putting your pet under anesthesia, a veterinarian will perform a full comprehensive physical examination to identify any existing medical conditions that could complicate the procedure and compromise the health of your pet. There is always the possibility that a physical exam alone will not identify all of your pet’s health problems. The pre-anesthetic blood profile (a combination of blood tests) is performed prior to anesthesia. This blood profile that we complete in our lab is similar to, and equally as important as those your own physician would run if you were to undergo anesthesia. Results will be immediately available before general anesthesia and/or surgery. It is important to understand that a pre-anesthetic blood profile does not guarantee the absence of complications. It may, however, greatly reduce the risk of complications that could require medical treatment in the future. If your pet is geriatric or ill, we strongly recommended upgrading to a full comprehensive blood screening.
  • ECG Safety Option for All Pets:

    An electrocardiogram (ECG) is an advocated safety option for all pets prior to general anesthesia as part of the pre-surgical work-up. An ECG is a diagnostic tool used to screen patients for the presence of hidden heart disease and/or arrhythmias​ that can form at any age​. ECG's are conducted the morning of surgery and are evaluated by board-certified cardiologists prior to surgery. Anesthesia protocols are often based on the findings of these reports. ECG's are optional, but highly recommended tools to ensure a favorable outcome for your pet's procedure.
  • Authorization for Possible Extraction(s)

    Dental disease may not reveal itself until a thorough exam under general anesthesia is performed. Dental radiographs are utilized to assess disease below the gum line during this exam. Every attempt will be made by the doctor to preserve your pet's teeth, however, in cases where extractions are required these are done with your pet's health and best interest in mind. Common reasons for surgical extractions include broken teeth, abscessed roots, damaged sockets, cyst formation, and so on.
  • Please check each space indicating that you acknowledge the following statements:

  • MISC: Please list the name and indicate the time the last dose was given for any medication your pet is currently on.

    Please bring these medications with you on the day of surgery.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • I understand that there are risks associated with anesthesia and the procedures set forth above, and with anesthesia. An I am satisfied after speaking with the staff of Ross Hospital for Animals that they will treat my pet as they deem necessary for their health, safety, and well-being; however, I do understand that no guarantee of successful treatment can be made. I acknowledge that I have read and fully understand this Authorization for Medical Treatment, the reason why such medical treatment is considered necessary, as well as, its advantages and possible complications, if any. I understand that payment is due at the time my pet is discharged and that a deposit may be required for extensive medical or surgical procedures.
  • Date Format: MM slash DD slash YYYY

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Contact Information

880 West Long Lake Road
Bloomfield Hills, MI 48302

Phone: 248-642-2050
Fax: 248-642-5438
Email: [email protected]
*All emails will be responded to within 24-48 business hours*

Appointment Hours
Mon-Fri: 8:00AM – Noon & 2PM – 4:30PM
Sat: 8:30 AM – 11:30

Hours of Operation
Mon-Fri: 8:00AM – 5:00PM
Sat: 8:00 AM – Noon
Sun: Closed

After-Hours Emergency Vet Clinics

Oakland Veterinary Referral Services
(248) 334-6877
1400 S Telegraph Rd.
Bloomfield Hills, MI 48302

Blue Pearl Emergency – Southfield
(248) 354-6640
29080 Inkster Road
Southfield, MI 48034

Blue Pearl Emergency – Auburn Hills
(248) 371-3713
3412 East Walton Blvd.
Auburn Hills, MI 48326

© 2023 Ross Hospital for Animals.
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  • Home
  • Client Forms
    • New Client Form
    • Patient Health History
    • Appointment Request
    • Boarding Form
    • Perscription Refill
    • Pet Record App Access
    • Online Pharmacy
    • Dental Anesthesia Consent
    • General Anesthesia Consent
    • Drop Off Out Patient Release
    • Pet Story Submission
  • About Us
    • Team
    • Careers
    • Promotions
    • Missed Appointment Policy
  • Services
    • Wellness Care
    • Diagnostics
    • Dentistry
    • Surgical Services
    • Feline Declaw Laser Surgery
    • Bathing
    • Exotic Wellness Care
    • Boarding
  • Pet Health
    • Pet Record App Access
    • How-To Videos
    • Pet Health Checker
    • Pet Parent Resources
    • News
  • Contact
    • Appointment Request
  • Shop Online
    • Hills To Home
    • Online Pharmacy