Dental Release Form (7 & Older)

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

Dental Release Form (7 & Older)

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 251-937-0112 for a faster response.

Dental Release

I understand that the doctors and staff will use all reasonable precautions against injury, escape or death of my pet. I understand that anesthesia involves some risk to my pet and give permission to proceed with anesthesia.

Pain Medication

Depending on the procedure, a pain injection may be given to your pet post-dental. Every dental patient will be sent home with pain medication if extractions are performed.

Dental Radiographs

All patients under anesthesia for a Core Dental Procedure will have dental radiographs performed prior to cleaning and polishing. Dental radiographs show us under the gum line, allowing us to see problems we wouldn’t otherwise be able to diagnose. If problems are found on radiographs, the doctor will go over them with you.


Extractions are sometimes a part of a Core Dental Procedure. Sometimes teeth may be loose, have fractures, or have major root exposure. In many cases, these teeth require removal due to the potential issues they cause and pain they create. Extractions will be done based on the veterinarian’s best judgment. We can assure you that only necessary teeth will be extracted.

Anti-Nausea Medication

Some pets can experience nausea and/or vomiting from anesthesia. This can increase the risk of aspiration pneumonia and can make them uncomfortable or unwilling to eat afterwards. We recommend that your pet receive an anti-nausea medication to minimize this risk and discomfort.

Pre-Anesthetic Testing Authorization

Advances in anesthesia have made it safer for our patients. While the doctor will perform a physical exam prior to your pet undergoing anesthesia, an exam alone may not identify underlying medical conditions. Therefore, because of your pet’s age and increased risk, we do require pre-anesthetic bloodwork and an IV catheter be placed in your pet. These procedures are required to ensure your pet is as safe as possible while sedated.