Anesthesia / Surgical Consent Form

Please fill out this form as completely and accurately as possible.

Before Procedure:

After procedure:

Caring people who care for pets.

Address

3065 Lake Rd
Horseheads, New York, 14845
Click here for directions.

Hours

Mon: 8:00am – 6:00pm
Tues: 8:00am – 6:00pm
Wed: 8:00am – 8:00pm
Thurs: 8:00am – 6:00pm
Fri: 8:00am – 5:00pm
Sat: 8:00am – 1:00pm
Sun: Closed

Contact & Connect

Phone (call or text): 607-733-6503
Fax: 607-733-3656
Email: lakeroadradiography@gmail.com
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Directions from Corning:
  • Take 17/86 east towards Binghamton
  • Take Exit 53 (Horseheads) exit and stay to the right
  • Go through two lights, and at the third light take a right onto South Main, this turns in to Lake Road
  • The hospital is ~1.5 mile on the right
Directions from Elmira – local roads:
  • Take Church St. or Water St.to the Madison Ave Bridge
  • Take a left on to Madison Ave, this turns in to Lake St, and then to Lake Rd.
  • Follow Lake St. to Lake Rd. past Curly’s Chicken, the hospital is ~1/2 mile on the left
Directions from Elmira – highway:
  • Take 17/86 West towards Horseheads/Corning
  • Take Exit 54 towards Horseheads/Rt 13
  • Stay to the left to exit towards Horseheads
  • At the light, take a left on to South Main which turns in to Lake Road
  • The hospital is ~1.5 mile on the right