Boarding Admission Form

This field is for validation purposes and should be left unchanged.

Client Information

Client Name
Address

Pet Information

Please help assist us in your pet’s admitting physical exam:

Is your pet on heartworm or flea preventative?
Any vomiting, coughing, sneezing, or diarrhea?
Select all that apply
Has your pet had any illness or injury in the past 30 days?
Ears/skin acceptable, no fleas/ticks being seen?
Any pet behavioral issues? (climbing, fears, aggression, other)
Would you like your pet bathed while at our facility?
*A complimentary bath is provided for any boarder staying more than seven (7) consecutive nights otherwise, a bath is available at a fee according to weight.
*Pet’s being bathed will need to be picked up in the afternoon
If fleas are detected, topical or systemic flea medication must be applied for a fee
Dogs: Frontline Gold | Nexgard | Capstar | No Preference

Cats: Frontline Gold | Revolution | Capstar | No Preference

Feeding Instructions

Did you bring your pet’s own food?
Was your pet already fed today?
Did you bring any special treats?

Medications

Is your pet on any medication?
If yes, pease list
Name
Directions
Last Given
 
(click "+" symbol to add more

Other Belongings

Did you bring any bedding, towels, toys, other?

Owner's Release

You are to use all reasonable precautions against injury, escape, or death of my pet. The clinic and staff will NOT be held liable for any problems that develop provided reasonable care and precautions are followed. I understand ANY problem that develops with my pet while I’m absent will be treated as deemed best by the staff veterinarians and I ASSUME FULL RESPONSIBILITY for the treatment expense involved. If I neglect to pick up my pet while within 5 days of the listed pick-up date and do not notify you within that time frame, you may assume the pet is abandoned and are hereby authorized to relinquish the pet as you deem best and/or necessary.
If any critical or life-threatening illness due to any new or on-going illness become manifest during my pet’s period of boarding:(Required)
In Case of an emergency where I am not available, please call:
MM slash DD slash YYYY

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Our goal is for you to leave our office with a memorable and enjoyable experience, which is why our welcoming and compassionate staff will do everything they can to make you feel right at home.

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