VET NURSE SERVICES: HOMESTAY 2020

Vet Nurse Services Homestay Contract

Full name(s)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone number while away

Email Address

example@example.com

Alternative Contact (in case of emergency if we cant reach you): Name and Phone

Pet's Name

Species/breed

Sex

MaleFemale

Desexed

Age or Date Of Birth

Last Vaccination given and Vet clinic that administered

Your pet needs a current vaccination, flea treatment and worming for their protection, and others in the house. Please let me know if youwish for me to supply/administer either of these.

Last Flea Treatment (brand and date)

Last Worm Treatment (brand and date)

Dates of stay (including drop off/pick up times where possible)

Do you require pick up and/or drop off? (extra charge may apply for transport)

Do you give permission for Vet Nurse Services to correspond with your Vet if needed?

Current Veterinarian and clinic

Please tell us about your pet's health and behaviour. List any medical conditions, previous surgeries or diseases that your put currently has, including any past medical or behavioural issues that may be relevant to her safety or the safety of others

Does your pet have any allergies or known drug reactions?

Is your pet a fussy or leisurely eater, or a scoffer? What food do they eat and when?

Daily Requirements, (phsyio, exercise, play time, grooming etc)

Where does your pet sleep at home? (Room/crate/kennel/In your bed!)

Tell us about a day in the life of your pet! What are your pet's favourite activities/things to do at home. Can you describe any unusual behaviours. the good, the bad, or the embarrassing! (So I am not surprised or worried!)

Please fill out the next 7 questions if your pet is a dog (otherwise skip)

1) Does your dog have any specific commands for toileting or cues that they respond to? If so - what do you say?If so what do you say?

2) Has your dog ever slipped their collar or harness whilst out walking? Please give details.

3) Has your dog ever escaped from a property or fenced section? Please give details.

4) Has your dog been nervous or displayed aggression towards other people or pets before? Have they ever been territorial, dominant or protective of you or your property? Please explain.

5) What is your dog like with new cats/ducks/birds? What are they like with new small dogs?

6) Do they chew toys / household items? If yes, do they ever swallow pieces? Have they ever eaten poison or had a foreign body surgery? (Intestinal blockage)

7) Does your dog suffer from separation anxiety when you leave them alone? Behaviours vary, but may include: barking, whining, pacing, self mutilating or chewing at body, digging, chewing furniture. Please explain.

Do you give permission for photos of your pet(s) to be shared and/or uploaded via social media?

YesNo

Is there anything else you would like to add or request ...

Declaration:

I declare that the above information I have provided is true and accurate.I have read the terms and conditions and agree to them. (Below)I wish to proceed to enlist the HOMESTAY services of Veterinary Nurse Services Limited

Name

Date:

Date

Signature

By signing this form, you acknowledge that you are the legal guardian or owner, and the information you have given is accurate and true to your knowledge. In the case of emergency or sudden illness, you consent to treatment given as necessary by your veterinarian stated above, or a more appropriate located veterinarian if needed.

You consent to veterinary costs incurred unless agreed otherwise. In the event of emergency or illness, Veterinary Nurse Services agrees to contact you as soon as possible at the above phone / email. In your absence you give permission for Vet Nurse Services to seek necessary help and treatment.

In return, we agree to provide your pet with the best care we are able to, using vet nurse experience experience to make the right choices for their welfare. We aim to provide a fun, and stimulating environment that will promote mental, emotional and physical health.

TERMS & CONDITIONS

The owner is responsible for providing items required for care of their pet, including (but not limited to): bowls, collar, lead, food, treats, bedding, toys, poo bags, litter tray & litter etc.

A half-day will be charged if the homestay starts after 4pm or concludes before 11am. Otherwise, a full day will be charged.

The utmost care will be given in watching both your pet and your home, but due to the unpredictability of animals, we cannot accept responsibility or liability for any damage to the pet other than in the circumstance of wilful neglect. Examples include (but are not limited to): bites, injury, disappearance, illness, death.

You understand Vet Nurse Services need to obtain your pet’s previous medical history.

Vet Nurse Services are able to provide medical/emergency treatment for the pet, in which case they are able to approve such treatment at the advice of another veterinarian. Attempts will be made to contact the owner, but if the owner is unable to be reached, Vet Nurse Services are able to make decisions with regards to care. The client is responsible for the costs.

Should any additional costs be incurred, the client will be invoiced at the conclusion of the sit and payment will be made within 2 weeks. Examples include (but are not limited to): mileage for appointments, purchase of additional items for pet care, purchase of items required for care of the home etc.

Vet Nurse Services reserves the right to terminate this contract at any time before or during its term. If Vet Nurse Services determine the pet poses a health and/or safety risk and the concerns prohibit the carer from caring for the pet, the client will be contacted and responsible for making alternative arrangements. If non-contactable, the pet will be placed in kennel/cattery.

The client agrees to notify Vet Nurse Services of any concerns within 48 hours of the homestay end date. Any concerns beyond this time will not be considered.