New Wellness Plans

Enjoy more healthy years with your pet by enrolling in our wellness plans.

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

Hours & Contact
  • Monday - Friday: 7:00am - 8:00pm
  • Saturday: 8:00am - 5:00pm, Sun: CLOSED
  • (703) 273-2110
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Town and Country Animal Hospital
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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
  • (703) 273-2110
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