Cole Veterinary Clinic Boarding Agreement

Boarding Start Date: *

Date

Boarding End Date:*

Date

Owner's Name:*

Pet(s) Name:*

Phone where you can be reached (in case of emergency):

Phone where you can be reached (in case of emergency):*

Local Emergency Contact (in case of evacuation or emergency pick up):*

Emergency Contact Phone:*

Please read the following carefully

Boarding Requirements: Thank you for choosing Cole Veterinary Clinic to care for your pet(s) while you are away. We are a hospital first and foremost, so in order to protect your pet(s) during their stay, we require them to be fully vaccinated for common transmissible diseases, including kennel cough. It is highly recommended they be vaccinated for canine flu. In addition, all pets staying with us must be free from internal and external parasites (fleas, etc,)

Medical Illness: By having your pet board with Cole Veterinary Clinic, they will be monitored by our highly trained employees during their stay. If for some reason, your pet becomes ill or we notice a medical concern, we will do our best to contact you or your emergency contact for permission to provide medical care if necessary. If we cannot contact you, andthe medical concern is causing your pet immediate pain, or they become increasingly ill, we will provide limited treatment to relieve pain or to prevent critical conditions until we can contact you for full treatment authorization. This will incur additional expenses outside of normal boarding expenses.

Feeding Guidelines: We welcome you to bring their own food, however if you prefer, we will provide your pet with a gentle intestinal-health diet. Please tell us about your pet’s feeding habits so we can help them feel more “at home”. Include what their normal diet consists of, how much and how often they eat, and any additional feeding instructions:

Feeding Habits:*

Feeding habits:*

How often do you feed your pet?*

Can your pet have treats?

YesNoOnly the ones I bring

Additional feeding instructions:

Medications: Please list all medications your pet is receiving, when and how often they receive them, and the last time they received a dose:

Would you like your pet to have a bath before they go home (Charge: $25)*

YesNo

Creature Comforts: We will provide your pet with blankets, towels, treats, bowls, etc. during their stay. We welcome you to bring your pet’s favorite items. However, some pets may have different behaviors while boarding than at home, including a change in bathroom habits, or destruction of toys or blankets. They don’t mean to behave this way; they just might miss you. If you choose to bring items from home, Cole Veterinary Clinic will not be held responsible for the loss or destruction of items left. Please provide a detailed description of any items left with us.

Belongings:

For your convenience, we can provide a wide array of services such as dental cleanings, surgery, or medical examinations while your pet is visiting us if advance arrangements have been made with our client specialists.

Additional Services:

We welcome you to call our office during business hours at (904) 853-6100 to check in on your furry friend while you are away. By signing below, I confirm that I have read and fully understand the boarding agreement and its terms.

Owner/Authorized Representative:*

Date:*

Date