Boarding Consent

For The Birds Boarding Consent

For approved birds only. PLASE CALL US BEFORE SUBMITTING THIS FORM TO MAKE YOUR RESERVATION. Boarding birds can be dropped off during the following hours: Tuesday-Saturday 9:30am-2:30pm *Wednesday 10am-1pm*

Boarding Fees by weight

Boarding, Per Day (1-250g)	$37.50
Boarding, Per Day (251-750g)	$47.80
Boarding, Per Day (751g+)	$56.25

Medical Boarding Fees by Weight

Medical Boarding, Per Day (1-400g)	$52.65
Medical Boarding, Per Day (400-1,000g)	$62.90
Medical Boarding, Per Day (1000g+)	$68.95

Your Name (Owner)*

First NameLast Name
Email*
example@example.com
Contact Number*
Please enter a valid phone number.
Will you be available by phone/text?*

YesNo
Emergency Contact number (if different from above)
Please enter a valid phone number.
Name Of Emergency Contact

First NameLast Name
Bird Name*
Bird Breed
Drop off Date*

MonthDayYear
Date
Pick Up Date

MonthDayYear
Date
Would you like your bird(s) to receive any of the following treatments? (Please be advised this will be in addition to daily boarding rate)*

Wing TrimNail TrimBeak Trim (Only if needed)LupronImplantAnnual Exam (Gram stain, Direct Fecal, Panel (CBC at DVM discretion))Vitamin ADE/Calcium Gluconate InjectionNone of the above
If your bird requires treatments please list it/them below. If your bird is on any medications, please bring them with your for their stay.
Please note: If your bird's annual is due and wasn't originally requested (once a year exam and corresponding labs) we will do it while they are boarding. We will use the above contact information to let you know.*

I agree
I am the owner or authorized individual to drop off this/these bird(s) for boarding. For the Birds reserves the right to remove any toy that is deemed hazardous. Any pick ups before 1:00 pm are considered a half day.
Signature*

Clear
Date*

MonthDayYear
Date
Should injury or circumstance warrant the need for emergency service, I understand that the clinic will try to contact the necessary people before treatment, but will exercise the option to proceed if no one is available for clearance.

I hereby authorize the Doctor (& assistants the doctor may designate) to administer treatment as therapeutically &/or diagnostically necessary. Only In extreme emergencies will necessary treatment be given without your prior approval. In these emergency situations we will contact you as soon as possible.
Signature*

Clear
Date*

MonthDayYear
Date
PLEASE READ THE FOLLOWING AS OUR STANDARD OF CARE HAS BEEN UPDATED.

If the doctor determines upon initial intake, physical examination or results from labwork that your bird(s) require to be monitored more closely by medical staff, we reserve the right to transfer them from regular boarding to hospitalization, which is an additional cost. You or your designated emergency contact will be notified of this change.

We can provide you with the cost differences upon request.
Signature*

Clear
Should be Empty:

For The Birds Boarding Consent