If your pet is experiencing an after-hours emergency, please call our sister facility, Columbia Pike Animal Hopsital and Emergency Center

We will be closed on December 24th and 25th.

 We'll be back on the 26th. Happy Holidays!

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  • Monday - Friday: 7:00am - 8:00pm
  • Saturday: 8:00am - 5:00pm, Sun: CLOSED
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Click here for emergencies Schedule an Appointment

Surgery/Anesthesia Consent Form

Species

As the owner, I hereby give my consent to Town & Country Animal Hospital to perform the following. I understand that each procedure will incur separate charges.

Select all that apply
I also authorize the following, if needed. Please refer to your estimate for charges.
Additional Needed Services: Vaccines needed may require additional exam fee. All pets admitted to Town & Country Animal Hospital must be current on all vaccines.
Please select one:

I understand that during the performance of these procedures, unforeseen conditions could be revealed that necessitate an extension or variance of procedures set forth. I expect Town & Country Animal Hospital doctors to use reasonable care and judgment in performing these procedures. The risk associated with surgery has been explained to me. I am also aware that unforeseen events resulting from the procedure will not relieve me from any obligation to pay all reasonable costs incurred regarding my pet. I understand that payment is required in full at the time services are rendered.

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Town and Country Animal Hospital

Because, "caring for your pets as if they were our own," is our calling in life.

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  • 9836 Fairfax Blvd
    Fairfax, VA 22030
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