Dauphin Vet Clinic

PO Box 556
Dauphin, MB R7N 2V4

(204)638-3044

www.dauphinvetclinic.com

Congratulations!

Your cat is confirmed for surgery on the annual MVMA Spay Day! Please complete the following form and return it to us before 5:00 pm Monday November 2nd.

Please note: Surgery cost has been paid in full. A minimum of 48 hour’s cancellation notice is required. Rescheduled surgeries will be charged at the regular spay and neuter price. No Refunds. Amounts paid will be credited towards future veterinary products and services.

 
Pre-Surgery Instructions

  1. Cats must be fasted. Remove all food and water at 8:00 pm the night before surgery. 
  2. Please arrive at the clinic for your scheduled check in time.
  3. Wait in your car and a team member will meet you in the parking lot.
  4. All cats must be securely confined to a carrier.
  5. For the protection of your pet and others in the hospital, if parasites such as fleas, lice or mites are found on your pet, we will administer the necessary treatment at your expense. Full payment will be required upon pickup.


Post-Surgery Instructions

  1. A team member will call you with a post-surgical update and arrange a time for you to pick up your cat. Please be available at the phone number you provided between 1 pm and 4 pm.
  2. Barn cats/outdoor cats should be confined to a small area indoors away from other pets and children for the first 24 hours after surgery.
  3. Watch the incision area for signs of infection, swelling, excessive redness or discharge.
  4. There are no stitches to be removed.
  5. Ensure your pet is eating and drinking normally.
  6. Please contact the clinic immediately with any concerns.


Free Tattooing

All cats will receive a tattoo in the right ear for identification purposes. A record of your cat’s tattoo will be kept on file. Please keep your contact information current with us to ensure we can trace your cat back to you if lost or found.  

Spay Day Surgery Consent Form Form

Owner's Name (required)
First Name (required)
Last Name (required)
Cat's Name

E-Mail Address (required) :
Phone number(s) we can reach you at during spay day: (required)
Phone TypePhone Number (required)

Phone TypePhone Number
Please select the date and clinic your cat's surgery has been booked for: (required)

Dauphin Vet Clinic - November 4th
Ste Rose Vet Clinic - November 10th


Type of surgery booked: (required)

Spay (female)
Neuter (male)


Pre-Surgery Health Questions
1. Does your cat mainly live indoors or outdoors? (required)

Indoors only
Outdoors
Both


2. Would you like us to continue the spay if your cat is pregnant? (required)

Yes (an additional $35.00 plus tax will be charged at pick up)
No


3. Is your cat up to date on vaccinations? (required)

Yes
No
Not sure


4. Has your cat experienced any of the following issues within the last 7 days? (check all that apply) (required)
Vomiting
Diarrhea
Coughing
Sneezing
Fever
Trouble urinating
No
5. Is your cat currently on any medications? Please list all medications below. (required)

6. Has your cat been diagnosed with any diseases or health conditions in the past? If so, please explain: (required)

7. Do you have any health concerns that we should be aware of? (required)

8. Do you give us your consent to publish pictures of your pet on the clinic website or social media? (required)

Yes
No


Discounted Vaccinations – Spay Day Special Pricing
In support of Spay Day, the Dauphin Veterinary Clinic is also offering discounted rates on vaccinations and deworming. (required)
(Note: Vaccine booster required for Leukemia & Distemper in 30 days. Cost is $86.20 including tax)
Rabies only ($50.00 plus tax)
Rabies, Leukemia & Distemper ($60.00 plus tax)
Yes, I ACCEPT deworming ($25.00 plus tax)
No, I DECLINE all vaccines and deworming
Additional Pain Management
For the comfort and welfare of your cat, it is highly recommended that they receive pain medications for 3-5 days following surgery. This pain medication is an oral liquid that requires you to be able to catch and handle the cat once a day. (required)
(** Your cat will be given 24 hours of pain control medications at the time of surgery which is included in the surgery price** )

Yes, I ACCEPT extra pain medication ($20.00 plus tax)
No, I DECLINE extra pain medication


E-collar (AKA: the cone of shame)
An E-collar is highly recommended to keep your pet from licking the incision site and causing infection. Would you like one sent home after surgery? (required)

Yes, I ACCEPT ($5 plus tax)
No, I DECLINE



I, the undersigned owner, or agent of the owner of the pet identified above, certify that I am eighteen years of age or over and authorize the veterinarians at this veterinary practice to perform the above procedure(s). I understand that some risks always exist with anesthesia and/or surgery and that I am encouraged to discuss any concerns I have about those risks with the attending doctor before the procedure(s) is/are initiated. While I accept that all procedures will be performed to the best of the abilities of the staff at this facility, I understand that veterinary medicine is not an exact science and that no guarantees have been made regarding the outcome of this/these procedures.
I have read and understand the nature of the above procedures and accept the specific terms and conditions set forth herein.
Signature (required)
First Name (required)
Last Name (required)
Date (required) :

Verify the reCAPTCHA: