Insemination Online Form

Please fill out this form before 48 hours before your appointment

    Please type your name here to sign that you have read and understood all the below statements:
    Please note: We recommend that only dogs in excellent health and free from parasites be bred. If your pet appears to be unhealthy or have parasites, our doctors reserve the right to decline to perform reproductive services. Please discuss any potential health concerns with the veterinarian prior to the breeding. Please list any concerns to discuss:Pre-Breeding Blood Work:

    It is recommended that all dogs, including breeding males and females, receive regular veterinary care. This includes annual lab work. This will help rule out pre-existing internal problems that may not be evident on physical examination. Disorders of the kidneys, liver, heart and blood cannot be detected without blood tests. Therefore, we recommend blood work be done on a yearly basis for all patients. We require blood work within the past 6 months for dogs that will undergo anesthesia for any reproductive procedure.

    Please initial here to request to have the recommended blood work completed for your pet:

    Artificial Inseminations

    Artificial Insemination (AI) is an assisted breeding technique in which a catheter is inserted into the vagina for intravaginal insemination. When considering this technique, it is important to weigh the risks of trauma and infection. When this procedure is performed by an experienced veterinarian, this technique should not cause trauma to the vaginal wall unless a pathology is found, or the patient behaves erratically. During this point of estrus, the vaginal walls are thicker and less at risk of trauma and there is an increased natural resistance to infection during this time.

    Transcervical Inseminations

    Transcervical Insemination (TCI) is an assisted breeding technique in which a rigid endoscope is used to pass a catheter through the cervix for intrauterine insemination. When considering this technique, it is important to weigh the risks of trauma and infection. When this procedure is performed by an experienced veterinarian, this technique should not cause trauma to the cervix or vaginal wall unless a pathology is found, or the patient behaves erratically. During this point of estrus, the vaginal walls are thicker and less at risk of trauma and there is an increased natural resistance to infection during this time.

    Surgical Inseminations

    Surgical Insemination is an assisted breeding technique in which a ventral abdominal incision is made to allow access to the uterine horns just below the ovaries where semen is then injected into the uterus. Proper surgical technique by an experienced veterinarian will minimize the risks of infection, as well as diligent adherence to aftercare instructions (including use of an Elizabethan collar for a full 14 days).

    Assisted Breeding Risks

    There are inherent risks with all forms of assisted breeding procedures, especially Transcervical Inseminations, which are in addition to the risks associated with pregnancy, delivery, and nursing. I have discussed these risks to my satisfaction and by signing below I agree that I will not hold the doctors or staff liable for any complications resulting from an assisted breeding procedure and/or resulting pregnancy/litter. Furthermore, I understand that no guarantee has been either expressed or implied regarding complications or outcome (including that of a successful pregnancy).

    Furthermore, I understand that if my pet appears to be in less-than-optimal health (including the presence of parasites), the doctors of The Pet Doctor reserve the right to decline to perform reproductive services, including insemination.

    In the event of an emergency, I authorize doctors and staff of this facility to perform any procedures deemed necessary until further communication with me. I certify that I understand this release, and the procedure/s have been explained to my satisfaction and I assume full financial responsibility of charges accrued.