Owner's Name *

First

Last

Email *

Pet's Name *

Species *

Breed *

Age or Date of Birth *

Purpose of Blood Test (Select all that apply)

If Other, Please Specify:

Select Specific Blood Test (if known)

If Other, Please Specify:

At ASL Vets, our greatest concern is the well-being of your pet. Your pet is scheduled for an anesthetic procedure. Before putting your pet under anesthesia, we routinely perform a full physical examination. In order to maximize patient safety, we highly recommend, and sometimes require, a pre-anesthetic blood profile. The surgeon may be alerted to the presence of certain conditions that could complicate the procedure, such as dehydration, anemia, infection, diabetes, and/or kidney or liver disease. These tests are similar to what your own physician would conduct prior to you undergoing anesthesia and help ensure the administration of the most appropriate anesthetic regime. *

The Quantitative Blood Count (QBC) and Pre-Anesthetic Profile which includes: CBC (PCV (anemia), white blood cell count (infection) and red blood cell count (anemia/bleeding disorder), platelet count (clotting disorder)) and Chemistry Profile (BUN and creatinine (kidney), ALKP and ALT (liver), glucose (sugar), total protein (dehydration), and electrolytes (imbalance)).
The owner elects to decline the recommended pre-anesthetic blood tests at this time but requests that we proceed with the procedure.

Other tests are available that are not included in the above choices. The tests selected above give the veterinarian a suitable overview of healthy patients. For those patients who are sick or in their senior years (above the age of 9), a full senior profile can be performed on the day of the procedure with the veterinarian's recommendation or at the owner's request.

Our ability to minimize anaesthetic and surgical risks and maximize patient safety is greatly enhanced by the completion of a physical examination and blood work prior to a surgical procedure. If you have any questions or concerns about the scheduled procedure, please do not hesitate to call or email at 01277 320 664 / info@aslvets.co.uk to discuss any aspect of the upcoming procedure.

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Blood Test Form

Blood Test Form

Blood Test Form

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Emergency Out-of-Hours

7573163

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Monday:	09:00 – 19:00
Tuesday:	09:00 – 19:00
Wednesday:	09:00 – 19:00
Thursday:	09:00 – 19:00
Friday:	09:00 – 19:00
Saturday:	09:00 – 13:00
Sunday:	Closed