Complete your Colopexy form online! Please enable JavaScript in your browser to complete this form.Your pet has been recommended to receive a colopexy to prevent abnormal positioning of the colon or rectum. The object of surgery is to create a permanent adhesion to secure the wall of the colon to the wall of the abdomen. A variety of surgical techniques will be available to the surgeon to perform this procedure including a variety of suture, instrumentation, and electrocautery if needed. Colon biopsies may be warranted. Complications of this procedure include, but are not limited to bleeding, infections, damage to surrounding organs, incontinence, dehiscence and unsuccessfully preventing recurrence of rectal prolapse. It is also important to understand this procedure may not completely resolve a rectal prolapse as it can be caused from several other etiologies. *I have read, understand, and consent. consent that surgeon. I authorize the surgeons and/or associates (Drs. Dosal, Franklin, Harper, Kiefer, and Souza) of Texas Specialty Veterinary Services, PLLC, to perform surgery and/or diagnostic procedures on my pet. I am also aware that Drs. Harper and Souza are board certified in large animal surgery only but have retrained in small animal surgery as well, therefore, offers their services to small animal clients and their animals. I have also been made aware that Dr. Franklin is small animal surgery residency trained but has not become board-certified. At this time, Dr. Franklin’s title is Practice Limited to Surgery. Dr. Dosal is a general practitioner who spent the last three years under Dr. Harper crafting his trade in small animal surgery as well as completing the Improve International Certificate Program in Small Animal Surgery. I understand that there are other board-certified surgeons in small animal available in the area. Dr. Keifer is a board certified small animal surgeon. *I have read, understand, and consent.A cancellation fee of $500 will be charged if the procedure is cancelled or rescheduled within 24 hours (not to include Saturday or Sunday as TSVS is closed on weekends) of the scheduled surgery date. A cancellation fee of $500 will be charged if the procedure is cancelled or rescheduled within 24 hours of the scheduled surgery date. *I have read, understand, and consent.Texas Specialty Veterinary Services (TSVS) and Texas Specialty Veterinary Services Rehab and Conditioning occasionally feature patients on its Facebook page, YouTube channel, other social media sites, and in publications (print or online). With your permission, we may share your pet's picture, video or story. This may, also, include "Graduation" photos from TSVS Rehabilitation and Conditioning programs offered with our certified Rehab technician, Kim Barrier. We may mention your pet by name, but never the owner’s name. TSVS would be grateful that you'll be helping other pets by educating pet owners, veterinary technicians, and veterinarians. * I consent to using my pet on social media or website.I do not consent to using my pet on social media or website.*Please note, TSVS is available to provide in-home rehabilitation services in San Antonio and the surrounding area(s). If you reside outside of this area, TSVS Rehabilitation is still available by phone, email, or Facetime. They are an excellent resource if you have any questions regarding post operative rehabilitation.* I authorize and understand by verbal consent and written consent the above information. *I authorize and consent.Submit
