Dental Release Form

Save time during your appointment. Complete your dental release form online from any device before your visit.

Dental Release Form

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.


You may use the PDF version by clicking the DOWNLOAD FORM button and completing the printed form by hand. Please bring the completed PDF form for your pet’s appointment.

Oral Assessment/Treatment/Plan:
Oral Assessment/Treatment/Plan involves the removal of tartar buildup from teeth. Once the tartar is removed, the teeth are scaled above and below the gingival line. Dental radiographs are then performed to evaluate each individual root. At this point, the doctor can better evaluate the health of each root. If there are any unhealthy teeth, they will be extracted. Extractions may be performed due to various circumstances: bone loss around the root(s), periodontal pocket(s), slab fracture(s), exposed root pulp, feline resorption lesions, and sensitivity. If your pet requires extractions, absorbable suture material is often used to close the extraction. (On exceedingly rare occasions, due to the severity of periodontal disease and secondary bone loss in the jaw, a fracture of the jaw may occur during the extraction process.) The teeth are then polished and treated with fluoride. A therapeutic laser is often used after the procedure to decrease pain and inflammation and aid in healing. A complimentary appointment will be scheduled one week after the procedure. At this time, we will recheck any extraction site(s) and set up a home care routine to prevent bacteria and plaque buildup.

All animals undergoing general anesthesia require an overnight fast and a full day of hospitalization. Postoperative care includes restricted exercise for 3-5 days, daily visual checks of the mouth, and feeding soft food for 7-10 days. If your pet is not accustomed to eating canned food, soaking dry food in warm water for a short time will soften the kibble. Postsurgical complications are rare and may include, but are not limited to, a reaction to the suture material, infection, and oro-nasal fistulas. Please notify the office if your pet is unwilling to eat, excessively pawing or rubbing at its face, or excessively drooling. A slight blood-tinged drool can be normal for the first few hours.

Before performing any procedure requiring anesthesia, blood work will be run to confirm your pet’s overall health. This will also reveal certain health conditions that could put your pet at risk. If the results are abnormal, the doctor will contact you to discuss treatment options. The test results will then become part of your pet’s medical record for future reference.

A leg is shaved for an intravenous catheter that is placed prior to surgery for direct access to the vein in the event of any complications. Intravenous fluids are also given during surgery to support normal physiologic functions. Our doctors routinely provide an injection of a 24-hour pain reliever at the time of the oral assessment/treatment/plan. Additional pain medication is given post-operatively for your pet to take home when your pet has extractions.
If you checked off a steroid, the doctor will be made aware and will proceed accordingly with your consent. These medications can affect your pet’s platelets, which play a crucial role in blood clotting. Additionally, there can be adverse gastrointestinal effects when these pain relievers are administered in combination with our pre-surgical medications and the pain medications provided for your pet to take home.

Financial responsibilities for services are due at the time of discharge. I also understand that Cranston Animal Hospital is not staffed 24 hours a day, and after-hour treatment of patients is at the discretion of the veterinarian.

I, the undersigned owner or agent of the pet named above, certify that I am 18 years of age or older and authorize the veterinarians of Cranston Animal Hospital to treat or perform needed procedures on my animal. You are to use all reasonable precautions against pain, injury, or escape of my animal. Cranston Animal Hospital will not be held liable or responsible in any manner for unforeseen incidents or accidents caused by the care, treatment, or safekeeping of my pet. It is thoroughly understood that I assume all risks, and that some risks always exist with anesthesia. As with any general anesthetic procedure, there is a slight risk of an Idiopathic (unknown cause) Anesthetic Reaction (IAR), which in rare situations may be serious and result in death. IAR is thought to be a cardiac hypersensitivity when the anesthetic is given at its accepted and standard dosage. IAR has no predisposing factors, does not appear to favor one breed or species over another, and is not revealed in standard screening tests, making it impossible to predict in advance.