PetDesk (Existing Clients)
Payment Options

reception.sternerclinic@gmail.com

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About
Services
Resources
Contact
Request Appointment

Feline Surgical Release FormSterner Veterinary Clinic

Surgical Release Form

Cat Name *

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Feline Age

Gender

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Breed

Color

Client account

Owner’s name *

First

Last

Owner's Email

Owner’s phone *

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Check in temp

Current weight

Procedures to be performed: (Name of surgery)

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Charges
Called

Prior to anesthesia, your pet will receive a full physical exam. Pre-anesthetic blood work is recommended and will be completed before anesthesia to evaluate the overall health of your animal.

Pre-Anesthetic Blood Work $55.00

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Dr. Discretion

Combo test $50.00

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Pain Medication (NSAID) to go home

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Dr. Discretion
Onsior pill
Meloxidyl liquid

13.2 lbs and under up to $25/ over 13.2 lbs up to $36

Zorbium Topical Pain Med for Declaws $30

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Local anesthesia and non-steroidal pain medication included with surgery

E-collar to go home $10.00

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Dr. Discretion

Home Again Microchip $50.00

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Dr. Discretion

Intravenous Catheter and Fluids $70.00

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All patients will receive subcutaneous fluids unless IV catheter is elected.

Histopathology $143

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Fresh News Litter for Declaws

12 lbs $10
24 lbs $20
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Additional Options

Rabies $15.00 (Save $10)

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Current

Fvrcp $20.00 (Save $20)

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Current

Felv $25.00 (Save $9)

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Current

Ear Mite Treatment $52.50

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Domitor/Torb/Ketamine/other

Domitor
Torb
Ketamine
Other

If Other, Please Specify

Ketoprofen/Simbadol/Buprenex/Convenia (all declaws)

Ketoprofen
Buprenex
Simbadol
Convenia (all declaws)

Ketamine/Midazolam/Propofol/Polyflex/Isoflurane

Ketamine/Midazolam
Propofol
Polyflex
Isoflurane

Ketamine/Midazolam

Ketamine
Midazolam

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Multiple Choice

Water Bottle (<99°F)
Post op temp

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Start:

Anes

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End:

Anes

SX

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I authorize the above-named procedure to be performed at Sterner Veterinary Clinic. The nature of such service has been described to me to my satisfaction. I realize that dangers of anesthesia and surgery include, but are not limited to, hemorrhage, infection and even death. No guarantee can ethically or professionally be made regarding the results or cure. I understand that I assume financial responsibility for all services rendered, and that payment is due on the date of surgery. During non-business hours, no veterinary personnel will be on the premises.

Signature

Date (Appointment date)

Phone numbers where you can be reached on the day of surgery:

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Cell

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Request an appointment

Ionia, MIAppointments

We currently serve the communities of Ionia, Portland, Greenville, Sheridan, Stanton, Westphalia, Saranac, Lake Odessa, Lyons, Muir, Carson City, and the surrounding areas. Existing clients may request an appointment by phone, or by using our PetDesk app! PetDesk makes caring for your pet easier with quick access to medical records, appointment requests, refill requests, and more!

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Questions?We're here to help.

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Where to Find Us

575 Apple Tree Drive

Ionia, MI 48846

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How to Reach Us

P: 616-527-3320
E: reception.sternerclinic@gmail.com

Please Note: This email is only monitored during business hours. Please allow up to 24 hours or the next business day for a response.

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Our Hours

By Appointment Only

Monday: 7:30 am to 7:00 pm
Tuesday – Friday: 7:30 am to 5:00 pm
Saturday – Sunday : Closed

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