Foland Veterinary Services - Boarding Agreement Form

Boarding Agreement Form
Pet Information
Patient Picture

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Pet Name
Species
Breed
Color
Sex
Age
Microchipped
Owner Details
Owner Name*
Phone Number*
Email Address*
Drop Off Date*

MonthDayYear
Pick Up Date*

MonthDayYear
List Belongings
Thank you for choosing our clinic to board your pet. We provide quality boarding with a personal touch. Every attempt will be made to give each pet individual love and attention during their visit with us. We strive to maintain a sanitary and healthy environment for our patients.

(Initial)   All pets must be up to date on vaccinations (See list below). Proof of vaccinations must be on file at the time of boarding, or an exam and vaccinations will be administered upon admission at the owner’s expense.

(Initial)   It is our policy that all pets are clean at the time of pick up. If your pet will be with us for an extended period of time (5 days or longer) he/she will likely need a basic bath before leaving.

(Initial) I understand that it is hospital policy to try and contact the owner/agent or emergency contact in the event that an emergency or illness arises. I request Foland Veterinary Services provide medical/surgical treatment deemed necessary, with fees not to exceed  $ Text Here  .
(Initial) Boarding is charged by night. Each night that your pet(s) stays with us a fee will be charged per pet. Excluding diabetic boarders. Diabetic boarding is charged by day. Each day your diabetic pet(s) stays with us a fee will be charged per diabetic pet.

See the hospital and boarding policies on the back page for further details.
(Initial) I understand that if my pet(s) develops diarrhea due to stress from boarding or due to diet change that FVS will treat my pet(s) with Pro Pectalin a Probiotic for FOUR DAYS at no charge. If my pet(s) continues to have diarrhea after those four days I understand that I will be contacted and charged for further treatment.
Special Services To Be Performed
During your pets stay is a great opportunity to have necessary and recommended services performed while your pet is in our care. Please select those services you wish to receive; prices are listed next to service:

Basic Bath-Dogs Basic Bath-Cats
Nail Trim Anal Glands Expression Nail Trim/Anal Glands Expression Combo Complete Physical Exam by a Veterinarian Canine Annual Vaccines-Rabies DA2PP Lepto Bordetella Influenva Feline Annual Vaccines-Rabies FVRCP Leukemia Fecal Test (we recommend all pets be tested annually) Heartworm Test (we recommend all pets be tested annually) Dental Cleaning if scheduling permits-(ask for estimate, pre-surgical lab work recommended for pets under 7yrs; pre-surgical lab work required for pets over 7 yrs.) Spay/Neuter if scheduling permits-(ask for estimate, pre-surgical lab work recommended for pets under 7yrs; pre-surgical lab work required for pets over 7 yrs.)
We operate a flea free facility and in order to maintain this standard, flea treatments are required for boarding pets. All pets must be on flea prevention, or will be treated with a Capstar at owner’s expense. We cannot guarantee that your pet will not pick up fleas while here but we try our best to prevent it.
Has your pet received flea prevention within the last 30 days?*

YesNo
If so when and what type?
Date administered

MonthDayYear

Medication that needs to be given to your pet while boarding will have an additional medication administration charge per day.

	Medication	Dose	Provided by owner
#1
#2
#3
#4
#5
#6

Diet: Normally I feed, Food type/brand
(measured cups, dry food) (measured amount, wet food)
ONCE DAILY AM ONCE DAILY PM TWICE DAILY FREE FEED
Special Instructions
I agree to make full payment at the time of discharge. This is to certify that I have read and understand the hospital boarding policies and information on the second page of this form.
Emergency Contact Name #1*
Phone Number #1*
Emergency Contact Name #2
Phone Number #2
Signature of Owner/Agent*

Clear
Date*

MonthDayYear

Hospital Boarding Policies

Vaccinations:
All pets must be up to date on their vaccinations, and it is the owner’s responsibility to make sure that proof of current vaccines are on file with the hospital at the time of admission. If vaccinations have been administered at another veterinary hospital and they are closed at the time of admission and proof of those vaccinations are not on file, the vaccines will be brought current at the time of admission and the client will be charged accordingly. If any of your pet’s vaccinations are past due, they must be inoculated before boarding and will also be charged accordingly. Boarding pets less than 16 weeks of age or those with less than 2 sets of the DA2PP vaccines given 2 weeks prior to boarding is not recommended, because they may not have developed complete immunity. Pets that are too young and have not completed their entire vaccine series may not yet be protected, owners will need to accept any risk of infections if this recommendation is breached.

Required Vaccinations	Recommended Vaccinations
Dogs: Rabies, DA2PP, and Bordetella	Dogs: Leptospirosis, Canine Influenza BOTH STRAINS
Cats: Rabies, FVRCP	Cats: Leukemia

Intestinal/External Parasites
All pets must be free of parasites, including fleas and ticks. If your pet is found to have parasites, including fleas and ticks, they will be treated with the proper dewormer and parasite control medication; you will be charged accordingly.

Rates, Payment and Pick Up
Dog and cat boarding rates is a flat fee, regardless of weight and size. Other services provided to your pet(s) during boarding are charged at regular cost. Payment in full is expected when your pet(s) is discharged. Boarding is charged by the number of nights stayed, charges are updated daily. Your pet(s) must be picked up between 9am and 5pm Monday through Thursday and between 9am and 4pm on Friday. Discharging after hours is not allowed. The kennel and hospital close at 6pm Monday through Thursday, on Friday FVS closes at 5pm, and closed all day Saturday and Sunday.

Medical Illness Policy
One of the advantages of boarding your pet(s) at Foland Veterinary Services is that medical attention is readily available to your pet(s). If your pet(s) become ill or requires medical/surgical attention we will do our best to contact the owner/agent or emergency contact. If we are unable to contact you the owner/agent or emergency contact, your pet(s) will be treated as we deem necessary with fees not to exceed $ Text Here until you the owner/agent or emergency contact can be reached. You acknowledge that in the event of your pet’s illness, the staff at Foland Veterinary Services may not be able to contact you immediately. Nonetheless, you authorize to initiate appropriate treatment until you the owner/agent or emergency contact can be reached. You agree to pay all related expenses associated with the treatment of your pet(s) until you are available to discuss further care and related fees with Foland Veterinary Services. If your pet(s) is currently on medication, please inform our staff. The medication must be in the original veterinary-labeled container with legible instructions for administration and with the prescribing veterinarian’s phone number. Fees for medication that need to be filled or refilled during the time your pet(s) is boarding with us will be charged accordingly. As the owner/agent you confirm that your pet(s) appear to be free of contagious diseases and has not bitten anyone in the past 10 days.
Inherent Conditions
Occasionally pets may develop problems from environmental and dietary changes that are often unavoidable in boarding environments. This facility cannot guarantee the health of any pet, but pledges to provide appropriate care to all boarders. Problems may include but does not limit to: weight loss or gain, rough fur coat or fur loss, kennel cough or upper respiratory infection, coughing or sneezing, vomiting, diarrhea, fleas or ticks, parasites and self-trauma such as scratching, biting their skin or rubbing their nose raw from trying to bury their food. We take great care so that these problems won’t occur and we treat our boarders promptly, if needed. However you agree to hold this facility harmless for these conditions can develop and understand that this facility is not financially responsible for these inherent conditions, if they do occur.

Personal Belongings
Leaving personal belongings, i.e.: toys, blankets, bedding, collars, leashes, etc., is allowed but discouraged due to sanitation and orderliness requirements. The facility is not responsible for lost, soiled, or damaged belongings.

Abandonment
Please notify us if there is any change of plans in your pet’s schedule departure date. If you the owner fail to pick up your pet(s) or do not notify us of a change in your pet’s departure date and either we do not hear from you or we are unable to contact you or your authorized agent and emergency contact within 10 days after your pet’s scheduled departure date, this facility will consider your pet(s) abandoned according to the animal abandonment laws in the state of Texas and will be handled in accordance with the state law. Please be advised that you the pet’s owner will be responsible for the fees accrued during boarding and any other fees or legal services incurred by this facility as a result of the abandonment.

If you have any questions or problems, please call our caring staff at Foland Veterinary Services at 817-598-0886. Thank you!
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