Please feed cups* and/or cans per meal (canned food for dogs NOT provided by PVH).
List medications: Last dose given:
*If fleas are found, your pet will be treated for fleas with a recommended treatment from one of our veterinarians and your account will be charged. We examine all pets for fleas when they arrive.
**Remember to pick up your pet after 4pm if he/she will be receiving a bath on pick up day.
The following is a contractual agreement between Park Veterinary Hospital (PVH) and the pet owner (here in after referred to as “Owner”) whose signature appears at the bottom of this document.
Initial here* Your pet must be current on vaccinations listed below and intestinal parasite screening in order to board in our facility. If not performed at Park Veterinary Hospital (PVH), you must provide proof of vaccination and intestinal parasite screening PRIOR to dropping off your pet. If vaccinations and/or parasite screening are not current, they will be updated by PVH, at owners expense.Dogs: Rabies, Distemper/ Adenovirus (hepatitis)/ Parvovirus at least every 3 years, and Bordetella every 6 monthsCats: Rabies, Rhinotracheitis/ Calici/ Panleukopenia virus at least every 3 yearsFerrets: Rabies
Initial here* I understand that PVH provides bedding, bowls, food and water for its boarding pets. I understand that for the safety of my pet, toys, chews, or other loose items will not be left in their area. I have listed here all of the belongings being left with my pet (food, medications, bowls, medical harnesses/collars). I understand that PVH is not responsible for lost or damaged personal items.item, item item
If my pet has a minor illness that requires professional attention: Please contact me to discuss treatment. Please treat my pet without contacting me. If I cannot be reached, or have asked for no contact, please provide care and treatment for my pet to maintain good health up to $100 to unlimited*.I understand that I am fully responsible for the expense of these services. Initial here*
If my pet has serious or life-threatening illness, I understand that PVH will start providing medical care and treatments while contacting me as soon as possible, and I authorize an allowance of $500 to unlimited* for treatment.I understand that I am fully responsible for the expense of these services. Initial here*
If my pet has a life-threatening emergency, and PVH has exhausted all avenues to contact me and all authorized allowances, and I cannot be reached, I authorize PVH to euthanize my pet if deemed in the best medical judgement of the veterinarian to prevent significant suffering.Initial here*
Initial here* Owner agrees to pay the boarding rate charges, all charges for required services and requested special services, any charges for external and/or internal parasite control if the pet is diagnosed with parasites, and all veterinary charges for their pet during the time it is in the care of PVH. Owner agrees that the pet shall not leave PVH until all charges are paid.
Initial here* In signing this contract and leaving your pet with PVH, Owner certifies the accuracy of all information given concerning your pet listed on the reverse of this document. PVH shall exercise reasonable care for the pet in the duration of boarding time. It is expressly agreed by Owner and PVH that PVH’s liability shall in no event exceed the lesser of the current chattel value of a pet of the same species or the sum of $200.00 per animal boarded. The Owner further agrees to be solely responsible and indemnify and hold PVH harmless from any liability for any and all acts or behavior of said pet while it is in the careof PVH, including, but not limited to, injury or damage to persons or other animals caused by the pet.
Initial here* Owner specifically represents that he or she is the sole owner of the pet, free and clear of all liens and encumbrances. Owner further represents to PVH that the pet has been properly immunized prior to boarding for Rabies, Distemper, Bordetella, Hepatitis, Para-influenza, ParvoVirus; or Rabies, Rhinotracheitis, Calici, Chlamydia, and Panleukopenia Virus for canines and felines respectively. Ferrets must have a current Rabies vaccination in order to board.
Initial here* All charges incurred by Owner shall be payable upon pick-up of the pet. PVH shall have, and is hereby granted, a lien on the pet for any and all unpaid charges resulting from boarding the pet. The Owner agrees to remove the pet within ten days after a request for removal is made. Should the animal not be removed within the specified time, the Owner hereby relinquishes all claim to the animal and PVH is at liberty to humanely dispose of the animal as it may see fit. The Owner hereby agrees that in the event the boarding charges are not paid as in accordance with contract stipulations, PVH may exercise its lien upon thirty 30 days written notice given by PVH to owner by Certified Mail to address shown on the Client Registration Form. PVH may dispose of pet at a private or public sale per discretion of PVH, and Owner waives the right to demand a public sale and the right to a hearing under North Carolina General Statutes 44A-b2 If such sale does not secure a price adequate to pay such costs of boarding or other incurred charges, plus costs of sale, court costs, and PVH attorney fees, the Owner shall be liable to PVH for the difference.
PVH STAFF USE ONLYChecked-in by: blanksTime: