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Blood Glucose Monitoring - Patient Admission Form

Your pet is being admitted to the hospital today for blood glucose monitoring. Please provide the following information; it will greatly assist the veterinarians in providing your pet with the proper treatment.

Did your pet eat this morning?
Did your pet receive insulin this morning?
Have you noticed your pet drinking more frequently?
Have you noticed your pet urinating more frequently?
For your pet’s safety, all hospitalized pets are required to have a CPR preference on file. Please select one of the following options:
In the event that my pet declines and has cardiac or respiratory arrest, I authorize Foothills Veterinary Hospital to initiate critical care which may include CPR (Cardio Pulmonary Resuscitation), IV fluids, additional bloodwork, and x-rays, with costs starting around $400.
In the event that my pet declines cardiac or respiratory arrest, I do NOT authorize Foothills Veterinary Hospital to initiate critical care. I understand that without these services my pet may not survive.
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