Bonner Springs Animal Care Center, the Other Family Doctor

Bonner Springs Animal Care Center

104 Forest Ave, Bonner Springs, KS 66012

Phone: (913) 422-2055

Fax : (913) 422-1678

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Surgery Release Form

  • All Pets Must Be Current On Vaccinations

    Please don't give your animal food or water the night before the surgery starting at 8 PM.
  • Please leave the best phone number we can reach you at today.
  • Date Format: MM slash DD slash YYYY
  • Our concern is for the safety, health and comfort of your pet. It is important that we assess the-complete health status of your pet before undergoing anesthesia and surgical procedures. We will perform a physical exam and we strongly recommend a blood profile for all patients. This test is similar to the tests that your own physician would run if you were to undergo anesthesia. This bloqd profile helps alert us to ttie presence of dehydration, anemia, infection, diabetes and/or kidney or liver disease that could complicate the procedure. For patients over 8 years of age a blood profile is required unless already completed in the past 30 days. IV fluids are also required for animals 8 years or old. We also recommend a test to detect blood clotting disorders for major surgeries.
  • Pet History

    Please provide the follbwing information:
  • As the owner of the pet described above I hereby give Bonner Springs Animal Care Center, its Doctors and staff consent and authority to provide the above described procedure. I understand the procedure as it has been explained to me. I have been informed that there are certain risks and potential complications and those conditions may arise that require c~anges in the treatment procedure. I authorize the use of the appropriate medical treatment including anesthetics and analgesics before, and after the procedure.
  • Typing your name above acts as your digital signature.
  • This field is for validation purposes and should be left unchanged.

Bonner Springs Animal Care Center Copyright © 2021.
104 Forest Ave, Bonner Springs, KS 66012
Phone : (913) 422-2055, Fax : (913) 422-1678
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    • Yearly Wellness Exams