Hospital Admission Form

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Hospital Admission 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.

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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.

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To determine a diagnosis and begin treatment of an ill animal, certain laboratory testing or radiographs may be required. The doctor will call you to discuss these procedures and costs. In the event of a life-threatening condition, we will make every attempt to stabilize your pet and notify you as soon as possible.
• Bloodwork: $145.92
• Urinalysis: $60.46
• Bloodwork and urinalysis: $185.32
• Fecal: $52.78
• 1 x-ray w/ specialist interpretation: $109.75
• 2 x-rays w/ specialist interpretation: $208
• 3 x-rays w/ specialist interpretation: $265.75
• Additional views w/ specialist interpretation: $57.75 for each additional view

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 treatments of patients are 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. I understand that you 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, as it is thoroughly understood that I assume all risks."

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