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 an injection for pain may be given to your pet post-dental. Every dental patient will be sent home with pain medication if extractions are performed.


Extractions are sometimes a part of a pet's dental procedure. Sometimes teeth are very loose, have fractures, or even major root exposure. These teeth a lot of times require removal due to the problems they may cause to your pet in the future. Extractions will be done based on the veterinarian's best judgment. We can assure you that only necessary teeth will be extracted. The cost for extractions vary depending on which teeth are removed.

Anti-Nausea Medication

Some dogs/cats can experience post-anes nausea and/or vomiting that can make them uncomfortable and unwilling to eat for a day or two following dental. We can administer an anti-nausea medication to minimize this discomfort.

Pre-Anesthetic Testing Authorization

Advances in anesthesia and surgery have made routine surgery safer. While the doctors will perform a physical exam prior to surgery, an exam alone may not identify all your pet's problems; therefore, because of your pet's age and increased risk, there will be mandatory pre-anesthetic bloodwork and a catheter placed in your pet.These procedures are required to make sure your pet is as safe as possible while sedated.