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Boarding Form

Please fill out this form prior to your pet's reserved stay with us.

We are here for you, please call us at (914) 762-0063 if you have any questions.
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Disclaimer

"We require proof of a current Annual exam, Rabies, Distemper (canine and feline) and Bordatella/Flu (canine only) for boarding. If these are not up to date, then we will need to administer those vaccinations prior to or on the first day of boarding."
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Owner Information* This field is required.
First Name
Last Name
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Owner Email* This field is required.
example@example.com
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Pet Information* This field is required.
Pet Name
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Drop-Off Date* This field is required.*Sundays are not available for Drop Off or Pick Up*
Drop-Off Date
Month
Day
Year
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Pick-Up Date* This field is required.*Sundays are not available for Drop Off or Pick Up*
Pick-Up Date
Month
Day
Year
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Additional Feeding Information* This field is required.
Yes
Please Select
Yes
No
Did you bring your pets food?
When did your pet last eat?
Cups of wet food per meal?
Cups of dry food per meal?
Additional Feeding Information
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Is your pet on any medication or supplements?* This field is required.
YESNO
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Medication Info* This field is required.
Medication Name
Prescribing Doctor
Dispensing Instructions
Yes
Please Select
Yes
No
Meds Given Today?
Time for Meds?
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Is your pet on a 2nd medication or supplement?* This field is required.
YESNO
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2nd Medication Info* This field is required.
Medication Name
Prescribing Doctor
Dispensing Instructions
Yes
Please Select
Yes
No
Meds Given Today?
Time for Meds?
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Is your pet on a 3rd medication or supplement?* This field is required.
YESNO
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3rd Medication Info* This field is required.
Medication Name
Prescribing Doctor
Dispensing Instructions
Yes
Please Select
Yes
No
Meds Given Today?
Time for Meds?
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Please list any medical conditions or history of which we should be aware while your pet is boarding (i.e. orthopedic problems, seizures, back problems, food allergies, vomiting, etc.).* This field is required.
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Has your pet ever bitten anyone?* This field is required.
YESNO
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May we put bedding in with your pet?* This field is required.
YESNO
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Please list any personal belonging's you will be leaving with your pet
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Does your pet need an exam or additional services?* This field is required.
YESNO
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Has your pet exhibited any of the following recently?
Vomiting
Diarrhea
Increased Appetite
Decreased Appetite
Lethargy
Increased Urination
Increased Water Intake
Weight Loss
Weight Gain
Pain
Coughing/Sneezing
Scooting
Skin Problems/Scratching
Lumps/Bumps
Bad Breath
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Additional Services* This field is required.*There may be an additional charge for these services
Rabies
Distemper
Bordetella
Lyme
Lepto
Flu
Fecal Test
Feline Leukemia
Anal Gland Expression
ProHeart
Heartworm Test
Nail Trim
Heartworm Preventative
Flea/Tick Preventative
Kennel Bath
Exam
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Would you like your pet to receive a bath?* This field is required.*There may be additional charges
YESNO
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If additional services are necessary, do we have your permission to treat?* This field is required.
YESNO
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Would you prefer to be called before performing additional services?* This field is required.
YESNO
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Emergency Information* This field is required.
Primary Name
Primary Phone
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Emergency Information
Secondary Name
Secondary Phone
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Agreement

"I, hereby, give Hudson Veterinary Hospital Pet Resort & Spa, permission to administer medical or surgical treatment as needed until I can be notified. I also give permission to give vaccines and treat for parasites as needed. Animals infested with fleas or those that are unusually dirty will be bathed. I understand that these services will be charged and must be paid at pet’s release. I give permission for my pet to be treated as described above and I agree to be financially responsible."
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Terms and Conditions* This field is required.
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Signature* This field is required. By signing this you agree to the terms on the previous page. Thank you.
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Boarding Form