Sunshine Coast - early 2025
Call Now
Stafford: 07 3008 9313
North Lakes: 07 3883 5206
Services
24 Hour Pet Emergency
Critical Care
Internal Medicine
Oncology
Outpatient Ultrasound
Surgery
Hip and Elbow Scoring
Minimally Invasive Surgery
Laparoscopic Gastropexy
Dentistry
Reproduction
Dermatology
Cardiology
Advanced Imaging
Anaesthesia
Physiotherapy
Common Conditions
Patent Ductus Arteriosus
Periodontal Disease
Feline Stomatitis
Cruciate Ligament Disease
Medial Patella Luxation
Minimally Invasive Surgery
Elbow Dysplasia
Total Hip Replacement
Hip dislocation
Intervertebral Disc Disease
Brachycephalic Airway Syndrome
Hiatal Hernia
Gastric dilatation and volvulus (GDV)
Laryngeal Paralysis
Humerus fractures
Lameness
Carpal (wrist) trauma
Pancreatitis
Perineal urethrostomy
Pyometra
Caesarean After Care
Perineal Hernia
Endoscopic Foreign Body Removal
Gastrointestinal foreign body surgery
Facilities
Virtual tour
Digital Radiography
CT
MRI
Ultrasonography
Endoscopy
Laparoscopy
Arthroscopy
Ligasure
Lab Suite
Intensive Care Unit
Our Team
Emergency and Critical Care
Internal Medicine
Cardiology
Surgery
Radiology
Dentistry
Reproduction
Dermatology
Anaesthesia
Physiotherapy
Payment
Payment options
Finance options
Referrals
Referrals
Outpatient Ultrasound Service
Client info
COVID-19 Update
FAQs
Making an appointment
What is a specialist?
Recovery after orthopaedic surgery
Quality of life
Blood Donor Program
Contact
Employment Opportunities
Vet Portal
Sunshine Coast - early 2025
Call Now
Stafford: 07 3008 9313
North Lakes: 07 3883 5206
Services
24 Hour Pet Emergency
Critical Care
Internal Medicine
Oncology
Outpatient Ultrasound
Surgery
Hip and Elbow Scoring
Minimally Invasive Surgery
Laparoscopic Gastropexy
Dentistry
Reproduction
Dermatology
Cardiology
Advanced Imaging
Anaesthesia
Physiotherapy
Common Conditions
Patent Ductus Arteriosus
Periodontal Disease
Feline Stomatitis
Cruciate Ligament Disease
Medial Patella Luxation
Minimally Invasive Surgery
Elbow Dysplasia
Total Hip Replacement
Hip dislocation
Intervertebral Disc Disease
Brachycephalic Airway Syndrome
Hiatal Hernia
Gastric dilatation and volvulus (GDV)
Laryngeal Paralysis
Humerus fractures
Lameness
Carpal (wrist) trauma
Pancreatitis
Perineal urethrostomy
Pyometra
Caesarean After Care
Perineal Hernia
Endoscopic Foreign Body Removal
Gastrointestinal foreign body surgery
Facilities
Virtual tour
Digital Radiography
CT
MRI
Ultrasonography
Endoscopy
Laparoscopy
Arthroscopy
Ligasure
Lab Suite
Intensive Care Unit
Our Team
Emergency and Critical Care
Internal Medicine
Cardiology
Surgery
Radiology
Dentistry
Reproduction
Dermatology
Anaesthesia
Physiotherapy
Payment
Payment options
Finance options
Referrals
Referrals
Outpatient Ultrasound Service
Client info
COVID-19 Update
FAQs
Making an appointment
What is a specialist?
Recovery after orthopaedic surgery
Quality of life
Blood Donor Program
Contact
Employment Opportunities
Vet Portal
Blood Donor Program – Register your Cat
Feline Blood Donor Program Registration
OWNER INFORMATION
Name
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
Mobile phone
Preferred contact method –
Queensland Veterinary Specialists/Pet Emergency will contact you on your preferred contact method to arrange blood donation appointments.
PRIMARY CARE VETERINARIAN INFORMATION
Regular Veterinarian:
Veterinary Clinic:
CONSENT FOR BLOOD DONATION
I give consent for an initial health check, which includes physical examination, temperament assessment, blood tests, +/- urine analysis. I am aware that no additional fee is incurred for these tests. Results will be shared with my regular veterinarian. I understand that blood donation may require sedation and/or general anaesthesia. It is the priority of Queensland Veterinary Specialists/Pet Emergency to provide our donors with a safe and positive donation experience. I understand the risks associated with sedation/general anaesthesia and consent to sedation/anaesthesia if required. I understand that to minimise infection, small areas of hair will need to be clipped from my cat’s neck and legs. I, the owner, hereby give consent for my cat to donate blood under the care of Queensland Veterinary Specialists/Pet Emergency.
Signature
Date
MM
DD
YYYY
PET INFORMATION
Pet's name
Pet's breed
Pet's age
Pet's date of birth
MM
DD
YYYY
How old was your cat when you obtained him/her?
Pet's sex
Male
Female
Spayed/Neutered:
Yes
No
Vaccination
F3
Herpesvirus
Calicivirus
Panleukopaenia
None
Vaccination product name and date received
Heartworm prevention
Yes
No
Heartworm product name and date received
Tick prevention
Yes
No
Tick prevention product name and date received
Flea prevention
Yes
No
Flea prevention product name and date received
Has your cat ever received a blood/plasma transfusion
Yes
No
Has your cat ever received Tick Antiserum
Yes
No
Has your cat ever received Snake Antivenom
Yes
No
Has your cat ever been pregnant?
Yes
No
Does your cat go outside?
Yes
No
Do you travel with your cat? If so, where?
*
Does your cat have or has your cat had any medical conditions/illnesses? Please provide details
Is your cat receiving any medications or supplements?
Has your cat been a blood donor previously? Please provide details
OWNER DECLARATION
I declare that all information provided is accurate to the best of my knowledge, as failure to do so may place my cat and others at risk.
Signature:
Date
MM
DD
YYYY
Thank you!