Spay-Neuter Certificate

For over 30 years, OCHS has worked to end pet overpopulation by serving community pets with spay/neuter services whenever possible. Because we do not have a veterinarian on staff, we rely on the generosity of visiting vets to help our shelter and community pets.

Spay/Neuter clinics at OCHS are available for cats by appointment only. If you need help spaying or neutering a dog, call the shelter at 541-997-4877 to see if you’re eligible for a spay/neuter voucher. Cat guardians can get on our waiting list for a spay/neuter appointment by calling the the Clinic at 541-590-3333, texting 541-305-5577.

Please complete the form below.

Spay-Neuter Certificate Form

First Name

Last Name

Email Address

Primary Phone Number

Work/Message Phone Number

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Animal InformationCatDog

Animal Name

Animal age

Sex

Breed

Color/Pattern

s this animal have any history of recent or ongoing illness or previous vaccine reaction?YesNo

If Yes, Please Describe:

Services RequestedCheck all the applySpayNeuterFVRCPDHLPPRabiesMicrochipFlea Treatment

Please Read and Agree to the Following *I, being of legal age and responsible for the animal above, have the authority to grant OCHS and its agents my consent to receive, transport, prescribe for, treat and perform surgery upon the animal above. I understand that modern techniques and trained staff will be used to care for all animals, and reasonable precautions will be used against injury, escape, or death of the animal. Animals are treated with NSAID pain medications, which, for cats, may be in an extra label but low dose that is generally accepted as safe. As with all medications and vaccines, adverse reactions are possible. It is understood that OCHS and it’s agents will not be held liable for unwanted results. Surgery and anesthesia have inherent risks, and individual animals may respond in unpredictable ways. If, in the course of treatment, a condition is discovered which requires medical attention or additional procedures, it is up to the veterinarian to decide what to do. The animal may be sent home without performing the surgical procedure and referred to a local veterinarian, or the veterinarian may elect to perform extra procedures. This may include, but isn’t restricted to, hernia repair, drug therapy and/or fluid administration. We do not do blood work beforehand. I understand this statement, and consent to the procedures deemed necessary by the veterinarian. I understand that once the animal is determined to be an acceptable surgical candidate, surgical sterilization procedures will be performed, regardless of the animal’s sex, or possible pregnancy condition. I understand that the veterinarian can refuse to perform any procedure on any animal for any reason. I understand the veterinarian(s) working on my pet is/are independent contractor(s) and that the Oregon Coast Humane Society (OCHS) is not practicing veterinary medicine, but is retaining the veterinarian(s) in furtherance of its charitable purpose to reduce unwanted companion animals in the Florence/Mapleton area. I agree to return to pick up my pet late this afternoon, at the time I am given, unless otherwise instructed. I understand no animals can be boarded overnight and the fee I am paying is not refundable even if it is discovered this animal has been spayed/neutered at a prior time unknown to me.I Agree

Shelter

2840 Rhododendron Dr.
Florence, OR 97439

(541) 997-4277

Open 7 days a week, 10 a.m. – 5 p.m.

info@oregoncoasthumanesociety.org

Thrift Store

1193 Bay St.
Florence, OR 97439

(541) 997-5705

Open Monday – Saturday, 10 a.m. – 5 p.m.
Sunday from 11 a.m. – 5 p.m.

Clinic

1739 22nd St.
Florence, OR 97439

541-590-3333
Text 541-305-5577
Toenail Tuesday 11 a.m. – 2 p.m.
By appointment only
Clinics when announced.
By appointment only

vetinfo@oregoncoasthumanesociety.org

Employer Identification Number (EIN) 93-1079548

Spay-Neuter Certificate

Spay-Neuter Certificate Form

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