Urgent Care Available by Appointment

Please Note: We will be closing early on Tuesday, December 24th at 1 PM and closed on Wednesday, December 25th in observance of Christmas!

Anesthesia/ Surgery/ Treatment Consent Form

Please fill out the treatment form below, and a member of our team will get back to you shortly. If you have any questions, please feel free to contact us.

Treatment Consent Form

Please complete this form completely and accurately so that we can get to know you and your pet(s) before your visit. If this is an emergency or your pet requires immediate attention, please call us at 413-786-8828
for a faster response.

In-Patient Questionnaire
Blood work is required before general anesthesia.
Initial
Please give details as to what is occurring - vomiting, diarrhea, itching, ear/skin infection, etc.
Please write N/A if your pet is not on any medications.
The hospital will not be responsible for any lost items.
The doctor will call you after the procedure to discuss if the mass should be submitted for biopsy.
Initial
Initial
Initial
Initial
Authorization Consent/Decline Directive for Cardiopulmonary Resuscitation (CPR)
Initial
Initial
Initial
Initial