PDA Boarding Form

Boarding Admission Form
Changes to Boarding Policy

Plaza Del Amo Animal Hospital is only providing boarding services to our patients that have an up-to-date exam with us. -- We are also currently closed for boarding pick up on Sundays.
By clicking here, you agree that you understand that completing this form does not reserve a kennel for your pet. You must call our office at (310) 530 -5511 to make a reservation*

Yes, I agree
Vaccines are required as followed: (must be current with valid proof of vaccination date)

Dogs: DHPP, Rabies, Bordetella and Canine Influenza
Cats: FVRCP and Rabies.
Please fill out the following form and click "Submit" when finished before the date of your Check-In to help ensure a more efficient check-in process.

We REQUIRE the boarding form to be filled out at least 24 hours before boarding stay
Reservation Details for Pet Parents
Owner's Full Name*

First Name Last Name
Phone Number*

Area Code Phone Number
Phone Number for text messaging (if different)

Area Code Phone Number
Emergency Contact Name*

First Name Last Name
Is your emergency contact allowed to authorize medical treatment for your pet?*

YesNo
Emergency Contact Phone Number*

Area Code Phone Number
If yes, what amount are they authorized to approve?
Reservation Details for your Pet
Are you boarding more than one pet?*

YesNo
Pet's Name*
Is your pet a cat and boarding in our cat condos if so, which view do you prefer? (Prices are per night/pricing for two cats in one condo is for both cats, per night)*

Yes, Standard Cat Condo $33.00Yes, Window/Garden - $41.00Yes, two cats in the same standard Cat Condo - $61.00Yes, two cats in the same window/garden Cat Condo - $69.00No, my pet is not a cat
Is your pet a dog and boarding with us in either Cottages or Standard runs? (Prices are per night/pricing for two dogs in the same area is for both dogs, per night) We do not offer two dogs over 40lbs to be in the same kennel due to concerns of comfortability.*

Yes, my dog is staying in Cottages with no webcam - $71.00Yes, two dogs in the same cottage - $126.00Yes, my dog is staying in your standard boarding runs - $43.00 - $54.00Yes, two dogs in the same standard boarding 40lbs and under - $78.00-$96.00No, I have a cat
Additional Pet information (please let us know any additional pets names and where they are boarding)
Check-In Date*

MonthDay Year
Date
Check-Out Date*

MonthDay Year
Date
Feeding Information
We feed a prescription bland diet while your pet is here to help prevent colitus. However, it is best for your pets not to change foods so we recommend that you bring your pets current food in prelabled and measured baggies. There is no extra charge for this service.
Will we be feeding our hospital food or yours?*

Hospital bland dietI will bring pre-measured food
How much food will your pet get per meal? (Please use exact measurements)*
How often should we feed your pet?*

Breakfast and DinnerBreakfast onlyDinner only3 times a dayFree Feed
When should we start feedings? Breakfast, Lunch, or Dinner on drop off day*
Complimentary Services (you can choose more than one)*

Pro-BioticBeddingTreats (Not recommended for pets with Food Allergies or a Sensitive Stomach)I decline all of these Services
For any additional pets please answer the previous questions regarding food and complimentary services:
Behavior and Medical Questions
Does your pet have destructive tendencies? (chewing/ripping up items, scratching walls or floors, or growling/barking at strangers)*

Yes, my pet has destructive tendencies.No, my pet does not have destructive tendencies.
If your pet has destructive tendencies, what are they? (Please be as specific as possible)
***If your pet is destructive enough to destroy any property of Plaza Del Amo, you will be held financially responsible for a fee of up to $100.00***
I agree to be held financially responsible for up to a $100.00 fee for any destruction of property my pet/pets do to Plaza Del Amo.*

Yes, I agree
For any additional pets, please answer the questions above, regarding destructive behavior, here.
Does your pet have any pre-existing medical conditions? (Heart murmur, contagious illnesses, diabetes, FIP, Parvo, Distemper)*

Yes, my pet has a pre-existing medical condition that I am aware of.No, my pet does not have any pre-existing medical conditions that I am aware of.
If your pet has a pre-existing condition that you are aware of, please elaborate.
To your best knowledge is the information provided above accurate?*

Yes, the information I provided is accurate to the best of my knowledge.
For any additional pets, please list your answers to the pre-existing medical questions here.
Medications
Please state all names of your pets if more than one pet is staying with us.
Current Flea and or Heartworm prevention? Please list product used, and if you have more than one pet staying with us please state all pets flea prevention here.*
We REQUIRE Flea medication in order to board
Date/Dates of flea medication given*
We are unable to board cats or dogs without up-to-date flea medication. If your pet is not on flea medication we will have to give them over-the-counter flea medication and add the charge to their stay. We do check for fleas upon arrival. If at any point your cat/dog is found with fleas, we will have to administer Capstar and flea medication in order to prevent them spreading.*

I acknowledge that I have read the statement and understand that additional charges may be added if my pet is not up-to-date on flea medication or if fleas are found.
We are happy to give your pet his/her medications for an additional charge of $8.00 per administration.

Medication must be in ORIGINAL container with prescribed label
If you have multiple pets on medication, please state only one pets name per section
Medication Name
Strength (mg. or mg/ml)
Given to pet

AM onlyPM onlyAM and PM3 times a day
If more than one medication for this pet, please list: Name of medication, Strength and how often given.
Second Pets Name
Medication Name
Strength (mg. or mg/ml)
Given to pet

AM onlyPM onlyAM and PM3 times a day
If more than one medication for this pet, please list: Name of medication, Strength and how often given.
If you have more than 2 pets staying with us that are on medications please elaborate here.
Playtime and Extra Services
All pets will recieve a minimum of two 15 minute walks per day along with pets and love during those walks.

Additionally, we offer playtime, cuddle and hugs time, brush time and additional walks at an additional cost.
Extra Playtime (15 minutes) $12.00 per session and pet*

1 time per day2 times per day3 times per day4 times per dayNot during this staycation
If you have more than one pet staying with us, please let us know how many pets you want to have playtime and their names.
Cuddle & Hugs Time (15 minutes ) $12.00 per session and pet*

1 time per day2 times per day3 times per day4 times per dayNot during this staycation
If you have more than one pet staying with us, please let us know how many pets you want to have cuddle time and their names.
Brush Time (15 minutes) $12.00 per session and pet*

1 time per day2 times per day3 times per day4 times per dayNot during this staycation
If you have more than one pet staying with us, please let us know how many pets you want to have brush time and their names.
Additional walks (15 minutes) $12.00 per session and pet*

1 extra walk2 extra walksNot during this staycation
If you have more than one pet staying with us, please let us know how many pets you want to have additional walks, how many walks per day and the pets names.
Grooming/Medical Exam Services
Does your pet require a grooming appointment?*

Yes, I have called to scheduleNot during this staycation
If your pet needs an exam, please call 310-530-5511 to schedule.
If you have multiple pets that are staying with us and want additional pets to have a medical or grooming exam please elaborate here.
Desired Date for Grooming Exam

Month Day Year
Type of Grooming

Full Groom (trim and bath)Bath Only
Have you filled out a grooming form (if your pet is getting grooming)

YesNo
Boarding Release Form

and Social Media Consent
- Medications: if your pet will be recieving medications during his/her stay it must be in the veterinary-labeled containers with instructions for administration.
- Vaccine Requirements: In order to protect the health of your pet, this facility requires documentation(invoice or veterianry medical records) showing that all pets are current on vaccinations. Pets that are so young that they have not completed their entire series of vaccinations may not yet be protected and, thus, owners accept any risks of infection. ** we do board unprotected puppies in a isolation area to try and keep them protected**
  
  Vaccines are required as followed: (must be curent with vaild proof of vacination date)
  
  Dogs: DHPP, Rabies, Bordetella and Canine Influenza
  Cats: FVRCP and Rabies.
  A treatment will be administered at the owner’s expense to any pet with evidence of fleas, flea dirt, or ticks.
  
  Statement of Kennel Policy
  
  I authorize the administration of vaccines, medication, tests, surgical procedures, use of anesthesia and/or treatments as deemed necessary by the veterinarian and understand that hospital personnel will be employed in the procedure as directed by the veterinarian.
  
  In the event that my pet develops any symptoms of illness such as vomiting, diarrhea, skipping multiple meals, etc. or we observe parasites, we will examine your pet and treat as needed. We will call the contact number listed to discuss our recommendations before starting any treatments, but if we are unable to reach you we will begin treatment as needed to maintain your pet’s health, comfort, and well-being.
  
  In the event of an unforeseen emergency, we will attempt to reach you without delay. Please know that we will take every precaution to ensure that your pet is safe. Very rarely, emergencies do happen and we want to know your preference if no one can be reached.
I understand and agree to Plaza Del Amo Animal Hospital's Boarding release form.*

Yes, I Agree
Plaza Del Amo Animal Hospital has my permission & right to take photographs of my pet and to copyright, use and publish the same in print and/or electronically.*

Yes, I agreeNo, I do not agree
In the event of an emergency, would you like us to proceed with life saving measures? (Which may include transferring to an emergency/after-hours clinic)*

YesNo
What is the maximum amount you would like to spend if an emergency occurs and we are not able to contact you?*
By clicking here, you agree that you've read the above & are in full agreement.*

Yes, I agree
Signature
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Boarding Admission Form

Changes to Boarding Policy

Reservation Details for Pet Parents

Reservation Details for your Pet

Feeding Information

Behavior and Medical Questions

Medications

Playtime and Extra Services

Grooming/Medical Exam Services

Boarding Release Form