FF BoardAgree

Fur & Feather Veterinary Hospital Boarding Agreement

Client Name:
First Name * Last Name *

Emergency Contact:
Name: First Name Last Name
Phone Number: #

Agent Name (if someone other than yourself will be picking up your pet):
Name: First Name Last Name
Phone Number: #

Pet's name:

Check in Date:

Date

Check out Date:

Date

Pick up Time:

Would you like for your pet to have a bath before going home? (nail trim is included):

YesNoNail Trim OnlyPrice quote for each

Initial* ALL PETS ADMITTED MUST BE CURRENT ON THEIR PHYSICAL EXAMINATION BY A DOCTOR of Fur & Feather Veterinary Hospital and their core vaccinations, fecal, and heartworm test (canine.) If your pet is past due, your pet will be examined and given the necessary vaccinations or tests upon admission, and current charges will apply. THEY MUST BE FREE OF EXTERNAL PARASITES, and pets found to have evidence of parasites will be treated at the owner’s expense. If your pet has special dietary needs or preferences you must provide the food or it may be provided at current charges. We prefer that you bring their current diet in order to prevent any potential GI upset during their stay.

Please ensure that your designated agent is aware that you have given us his/her name, and is willing and able to make decisions regarding the care and well-being of your pet.

Any pet not claimed within ten (10) days of pick-up date, without new provisions being made, will be considered abandoned, becomes the property of Fur & Feather Veterinary Hospital and handled according to our best judgment.

Diet Instructions (amount and frequency):

I am leaving personal belongings with my pet. Please list:

You must bring all medications in their original containers. If medications are not provided, you will be charged at the current rates.

Please list each medication, dosing instructions (if different from the bottle), and last time it was given:

Medication: Name Dose: Amount
Last Given: Time/Date

Instructions:

Medication: Name Dose: Amount
Last Given: Time/Date

Instructions:

Medication: Name Dose: Amount
Last Given: Time/Date

Instructions:

Fur & Feather Veterinary Hospital is a Fear Free Certified facility. We strive to provide an anxiety-free stay for your pet. We use pheromones for all pets to aide in prevention of anxiety. We also utilize medications when appropriate in cases of more moderate to severe separation anxieties. If you know your pet will need medication, please inform a staff member so that we can begin immediately. I agree to pay in full for all services provided at the time of discharge. I understand that if an unanticipated need for anxiety medication or additional procedures or services (e.g. medication for stress diarrhea, etc occurs, a reasonable effort will be made to contact me using the contact information provided above.

Initials* The undersigned hereby warrants that they are the owner or authorized agent for Pet Name* in this record and does consent and authorize Fur & Feather Veterinary Hospital to care for and treat Pet Name* . If an emergency situation arises, I authorize services, including the use of anesthesia if necessary, to treat my pet until such time as I can be contacted. I understand that every reasonable effort will be made to contact me as soon as possible if an emergency or unanticipated situation arises with Pet Name* . If I am unable to be reached, I authorize the veterinarians to proceed with treatment as deemed necessary for the well being of Pet Name* . I understand I will be responsible for all charges incurred at checkout.

Client Name: First Name * Last Name *

Authorized Signature:*

Date:

Date