Date and Time of Pickup *

Date

Time

List of Current Medications, When Last Given *

Food (Type, Amount, How Often) *

Vaccination Status, if With Another Clinic Please Ensure We Have Records Before Your Stay

Yes
No

Please Upload Vaccination Records

Drag & Drop Files, Choose Files to Upload You can upload up to 10 files.

Special Instructions

Contact Name *

Email *

Phone *

Bath?

Yes
No

Nail trim?

Yes
No

Anal glands?

Yes
No

Vaccines: In order to board your pet(s), vaccines must have been given by clinic standards. If your pet does not receive its vaccines at this facility, you must show documentation from another licensed veterinarian that verifies current vaccinations. If any vaccinations are past due, your pet(s) must be vaccinated before boarding for his/her protection, as well as the protection of our other guests. Vaccines administered at this facility will be added to your bill.

Parasites: All pets must be free from external (e.g., fleas, ticks) and internal parasites (e.g., hookworms, roundworms). At our discretion, if internal or external parasites are found, the cost of treatment will be added to your bill.

Diet: We routinely feed a premium maintenance dry food appropriate for the age and species of your pet. Prescription diets or canned diets are available and will be added to your bill at retail cost. We will gladly feed your pet(s) their normal diet if provided at check-in.

Medication: We will administer any required medications to your pet(s). Only medication prescribed by a licensed veterinarian and appropriately labeled will be given. If a medication needs to be filled or refilled, the charges will be added to your bill.

Boarding is charged for each night of your pet's stay, regardless of time admitted or released.

Pets must be picked up during normal business hours. We are unable to discharge pets after hours.

Personal items may be left at your own risk. We are not responsible for loss or damage.

Our hospital cannot guarantee the health of any animal, but pledges to give appropriate care to all boarded pets. I hold the hospital harmless for conditions that often are unavoidable in boarding environments, such as but not limited to: weight loss, rough hair coat, kennel cough, upper respiratory infection, and diarrhea. Note: Some medical problems may not be evident in a kennel environment.

Should a medical problem arise during your pet's stay. We will make every effort to contact you to notify you of your pet's status and give an estimate of treatment cost. Should the condition be deemed life-threatening, of a contagious nature, or of a nature that will worsen without treatment, supportive treatment will be performed, and the charges will be added to your bill.

We Amount, Please

Consent *

I agree to make full complete payment to the hospital at the time of discharge. Note: A deposit may be required on admission at the discretion of the hospital.

2nd Consent *

I understand that if I fail to pick up my pet(s) within 12 days of scheduled pickup, my pet(s) will be considered "abandoned", and will be handled in accordance with state law, and that doing so does not relieve me of my financial obligations.

3rd Consent *

I understand that this facility is NOT equipped with fire suppression systems and is not staffed outside of normal business hours.

3rd Consent (copy) *

I have read and fully understand the terms and conditions set forth above.

Boarding Agreement Form

Boarding Agreement Form

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