Best Friends Animal Hospital - Boarding Agreement

1
Admit Date & Time* This field is required.
Date
Year
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
AM
AM
PM
2
Pickup Date & Time* This field is required.
Date
Year
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
AM
AM
PM
3
Owner Details* This field is required.
First Name
Last Name
Phone
Email
4
Pet(s) Boarding
5
Person(s) to contact in case of emergency* This field is required.
Emergency Contact Name
Emergency Contact Number
6
What to Bring for Boarding:

Food and Treats
Please bring you pet's food in pre-measured single-serving baggies so that the Kennel Technician gives the proper amount for each meal. (Please provide enough food for the entire boarding stay along with a little extra just in case your vacation is extended. You may also bring treats too. :)

Medication
Provide all medication your Pet will need to receive while they're boarding with us. Please let us know your usual method of medicating.

Toys
Be careful to only pack Tough Toys for your Pet's Boarding Stay... Pets can hurt themselves, get tangled, or swallow small parts. So please only pack toys like Kongs, etc. No stuffed toys or Ropes.

Bedding
We will be happy to provide bedding for your Pet's stay to avoid damaged or lost bedding.

We are not responsible for any lost or destroyed items.
7
Special instructions – include detailed medication directions, feeding instructions, and anything you wish the doctor to check for:
8
Bath & Nail Trim
Yes
No
Bath
Yes
No
Nail Trim
9
VACCINATION POLICY

To insure the protection of all pets under our care, the following must be up-to-date:

DOGS: Rabies, DHLPPC, Bordatella, Fecal Exam, Heartworm Test, Canine Influenza vaccinations

CATS: Rabies, FVRCP, Fecal Exam, FIV/HW Test .

If not up-to-date, or unable to provide proof of vaccination, I give my permission to update my pet(s) vaccinations in accordance with the above policy.

In addition, if any fleas/ticks are observed on your pet(s) while boarding, he/she (they) will receive treatment at owner’s expense.
10
For your pet’s comfort we offer a complimentary anti-anxiety medication.
Yes if my pet needs anti-anxiety meds, I give my permission
No I would not like my Pet to receive anti-anxiety meds while boarding
11
MEDICAL ILLNESS POLICY

One of the advantages of boarding your pet(s) at a veterinary clinic or hospital is that veterinary attention is readily available should the need arise. If your pet(s) become ill, we will call the emergency number(s) listed above regarding your pet’s symptoms, treatment options and estimate of additional costs. If no one can be reached however, please indicate your wishes in the following selections should your pet(s) require treatment to resolve immediate discomfort or an important medical condition.
12
MEDICAL ILLNESS POLICYPlease indicate your wishes below should your pet(s) require treatment to resolve immediate discomfort or an important medical condition.
Please perform whatever service the doctor deems necessary for the best care of my pet until someone can be reached. This includes only non-elective treatments and necessary diagnostics
I authorize up to a specified amount until someone can be reached (check one and indicate amount on next page)
Do not administer any medical treatment until specific authorization is given
13
MEDICAL ILLNESS POLICYI authorize up to (click one and indicate amount) in medical care for my pet(s) until someone can be reached.
$100
$200
Other (Please indicate amount on next page)
14
If you selected "Other" in the previous page, please indicate the amount you approve below.
Please enter dollar amount
15
I have read and understand this agreement. I fully intend to pick up my pet(s) on the above specified date. If circumstances change, I will notify the veterinarian of a new pick-up date.
16
Today's Date
Date
Year
Month
Day
17
Signature* This field is required.
Clear
Should be Empty: