Boarding Agreement

Boarding Agreement

Medication Information Form and Illness Policy Form
Vaccine Policy
Starting May 1, 2021 past due vaccines will need to be given 14 days prior to boarding.

VACCINATION POLICY: To ensure the protection of all pets under our care, the following must be up to date or administered at least 14 days prior to stay with us.

DOGS: Rabies, Distemper/Parvo (DHPP); Bordetella, Negative Fecal Test with in 12 months.

CATS: Rabies, FVRCP (Distemper)

If fleas/ticks are observed on your pet during boarding, treatment will be provided at your expense.
Signature *

Clear
Date *

Month Day Year
Date
Pet's Name *
Owner's Name *
Dropping Pet Off

Month Day Year
Date
Picking Pet Up

Month Day Year
Date
Did you bring your pet's food? *

YES NO
How often do you feed your pet a day? *

Once a day twice a day three times a day
How much food per meal? *
Does your dog like to play with other dogs? *

YES NO
Is your pet on medications? *

YES NO
Does your pet have an incision, sutures or staples? *

YES NO
Has your pet been treated with flea/tick medication in the last 30 days? *

YES NO
Does your pet have a history of shredding or eating bedding? *

YES NO
Is your pet afraid of thunderstorms or fireworks? *

YES NO
Does your pet have allergies such as food or skin? *

YES NO
Does your dog have a grooming appointment scheduled while here with us? *

YES NO
Please share any additional information that would be helpful for us to know about your pet during their stay with us. If additional services needed, such as grooming or Vet visit, please call us directly to schedule these services.
A la Carte Activities For Dogs

Individual playtime/pool time - $6 per day Daytime Peanut Butter filled Kong - $3 per day Bedtime snack, extra cuddles (treats or Peanut Butter filled Kong) - $3 per day NO
A la Carte Activities For Cats

Playtime, cuddle time with staff member in cat room with toys - $2 per day NO
Do we have permission to use your pets' photo on Facebook?

YES NO
Would you like to receive Pupdates? (Updates about your pet including photos) If yes, please specify which phone number we should use.
Medication Information Form

Please list the medications your pet is currently taking and will receive while boarding.
Medication # 1
Name of Medication
Quantity of Med # 1
(e.g. 1/2 tablet)
How often is medication administered?

1 time a day 2 times a day 3 times a day other
When was this medication last given?
Give Medication with a meal or empty stomach?

With a meal Empty stomach
Medication # 2
Name of Medication
Quantity of Med # 2
(e.g. 1/2 tablet)
How often is medication administered?

1 time a day 2 times a day 3 times a day other
When was this medication last given?
Give Medication with a meal or empty stomach?

With a meal Empty stomach
If needed, please add any additional medications, including amounts and frequency here.
Medication Illness Policy
One of the advantages of boarding your pet(s) in an animal hospital is that veterinary attention is readily available should the need arise. If your pet becomes ill, we will call the emergency number listed below regarding your pet's symptoms, treatment options and estimate of additional costs. If no one can be reached, however, please indicate your wishes below should your pet require treatment to relieve immediate discomfort or to resolve an important medical condition.
Treatment Options *

Please perform whatever services 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 do have monetary limitations (not including regular boarding charges). Please do not exceed a certain dollar amount in medical care until someone can be reached. Do not administer any medical treatment until specific authorization is given.
Do not exceed this dollar amount in medical care, until someone can be reached. *
I have read and understand this agreement. I fully intend to pick up my pet on the specified date. If circumstances change, I will notify the hospital of the changes.
Emergency Contact Name *
Emergency Contact Phone Number *
Signature *

Clear
Should be Empty:

Boarding Agreement

Vaccine Policy

Medication Information Form

Medication Illness Policy