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Highlands Animal Hospital 604-985-0454

11/30/2013
Page 1 / 2

3044 Highland Blvd


North Vancouver, BC V7R 2X3
(604) 985-0454
Dogwood Rescue Society
1090 Aubeneau Crescent

Client ID: 21022


Estimate ID: 12895

West Vancouver, BC V7T 1X8

Patient ID:
Patient Name:
Item ID

25082
Ellie

Description

Expiration Date: 2/26/2014

Species:

Canine

Weight:

Breed:

Dachshund, Miniature

Birthday:

Staff Name

Low Qty.

6.00
kilograms
04/09/2004
Low Amount

Sex: Spayed Female

High Qty.

High Amount

1.00
1.00
1037
Surgery Group
Dr. Brad Gilbert
$0.00
$0.00
1.00
1.00
1015
Anesthetic Induction + 10min maintenance
$110.00
$110.00
10.00
12.00
Add - Anesthetic per 10 Minutes
$540.00
7002
$450.00
1.00
1.00
6007A
$0.00
$0.00
Anesthetic Package Medium
1.00
1.00
FLUMED
IV Fluids Medium
$88.06
$88.06
1.00
1.00
1300
IV Catheter
$55.44
$55.44
1.00
1.00
$47.20
ASSIS3
Technician Fee
$47.20
1.00
1.00
902
Blood Pressure - Doppler
$45.34
$45.34
3.00
4.00
1710
$45.00
$60.00
Add - Anesthetic Monitoring per 10 min
-1.00
-1.00
799H
Discount Anesth.Pkg. Med.
($87.66)
($87.66)
8.00
10.00
959
Surgery per 10 min
$744.00
$930.00
1.00
1.00
SXR
Surgery Room Fee
$45.14
$45.14
1.00
1.00
967
Surgical Pack Fee - standard 1 gown
$57.71
$57.71
2.00
3.00
SUTURE
Suture Material Per Pack
$73.20
$109.80
1.00
1.00
1046
Hospitalization - Intensive Care per 12h
$0.00
$0.00
2.00
2.00
ASSIS
$81.42
Veterinary Assistant Fee
$81.42
2.00
2.00
524
Examination - In Hospital
$105.00
$105.00
1.00
1.00
673A
PCV / TP
$54.00
$54.00
1.00
1.00
647
Urine Specific Gravity
$10.87
$10.87
1.00
1.00
902B
Blood Pressure - Doppler in Hospital
$19.93
$19.93
1.00
1.00
1855
IV Additional - Pump Maintenance
$41.84
$41.84
1.00
1.00
ASSIS
Veterinary Assistant Fee
$40.71
$40.71
1.00
1.00
1428
Pain Control Medium - Estimate
$85.00
$85.00
1.00
1.00
577
IV Set Up (Includes Everything)
$160.55
$160.55
2.00
2.00
AMPIC
Novo Ampicillin Inj 500mg vial per ml
$20.07
$20.07
1.00
1.00
BAYT1
Baytril 5% Injection
$21.64
$21.64
1.00
1.00
314
Biopsy - w/ Microscopic Desc. 1 Site
$147.90
$147.90
2.00
2.00
ASSIS3
Technician Fee
$94.40
$94.40
1.00
1.00
98
Fentanyl Patch 25mg
$47.38
$47.38
5.00
6.00
1010
Medication
$114.00
$134.00
1.75
3.00
3249
single pet ultrasound fee
$175.00
$300.00
1.00
1.00
1044
Hospitalization - Intensive Care per 24h
$0.00
$0.00
3.00
3.00
$122.13
ASSIS
Veterinary Assistant Fee
$122.13
2.00
2.00
524
Examination - In Hospital
$105.00
$105.00
1.00
1.00
673A
PCV / TP
$54.00
$54.00
1.00
1.00
647
Urine Specific Gravity
$10.87
$10.87
1.00
1.00
902B
Blood Pressure - Doppler in Hospital
$19.93
$19.93
1.00
1.00
1045
Hospitalization - Over night Boarding
$15.45
$15.45
1.00
1.00
1855
IV Additional - Pump Maintenance
$41.84
$41.84
1.00
1.00
2507
Geriatric Panel - Follow-up
$132.90
$132.90
3.00
4.00
597
Injection - Intraveneous (into IV Line)
$46.11
$61.48
1.00
1.00
BU15
Buster Clic Collar 15cm
$7.58
$7.58
1.00
1.00
1305
Enema
$59.99
$59.99
1.00
1.00
ENDO36
Gastroduodenoscopy W/ other Procedure
$341.00
$592.00
This estimate is good for 30 days and includes only those items listed. Payment will be required when your pet is released from the hospital.

Highlands Animal Hospital 604-985-0454

11/30/2013
Page 2 / 2

3044 Highland Blvd


North Vancouver, BC V7R 2X3
(604) 985-0454
Dogwood Rescue Society
1090 Aubeneau Crescent

Client ID: 21022


Estimate ID: 12895

West Vancouver, BC V7T 1X8

Patient ID:
Patient Name:
Item ID
50
7002
3427
PB

25082
Ellie

Description
Gastroduodenoscopy
Add - Anesthetic per 10 Minutes
Cytology - 1 Site TNVD
Blood Collection Fee

Expiration Date: 2/26/2014

Species:

Canine

Weight:

Breed:

Dachshund, Miniature

Birthday:

Staff Name
Dr. Brad Gilbert

Low Qty.
0.50
3.00
1.00
-2.00

6.00
kilograms
04/09/2004

Sex: Spayed Female

Low Amount

High Qty.

High Amount

$0.00
$0.00
$51.42
($62.00)

1.00
4.00
1.00
-2.00

$0.00
$0.00
$51.42
($62.00)

Low Subtotal:

$3,839.36

High Subtotal:

$4,578.33

Less Discount:

$592.97

Less Discount:

$755.68

Tax:

$176.43

Tax:

$213.21

Low Total:

$3,422.82

High Total:

$4,035.86

This estimate is valid for 30 days and includes only those items listed. Prices may vary upon services rendered. I
agree to pay a deposit of ______% of the estimate fees, assume financial responsibility for the remaining fees, and
provide payment in full via cash, credit card, or check at the time my pet is discharged from the hospital.
If additional treatment is necessary and I can not be reached in good time, I authorize further treatment up to
$________________.
Authorization:______________________________________________

Authorizing Signature

This estimate is good for 30 days and includes only those items listed. Payment will be required when your pet is released from the hospital.

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