Boarding Medical Release

Boarding Medical Release Form
Medical Release Form

This is a required form for all Cape Fear Animal Hospital boarding patients. The safety and well-being of your pet(s) is of the highest importance. Unless your pet is due for a comprehensive physical exam, our veterinary technicians/assistants do perform a general external screening for pre-existing health conditions or ailments; however some factors may be beyond our control. In the event that a medical emergency or illness arises while your pet is in our care, it is imperative that medical treatment be provided as quickly as possible. The Veterinarian on staff will provide the necessary treatment for your pet and you will be notified.

I understand that in the event of a medical emergency or illness, that Cape Fear Animal Hospital, at its sole discretion deems my pet needs the attention of a licensed veterinarian; I authorize Cape Fear Animal Hospital to treat my pet with the recommended intervention of the on staff veterinarian. I further agree that I am financially responsible for any medical treatment my pet(s) receives as a result of a medical emergency or illness while in the care of Cape Fear Animal Hospital.

I understand that there are no Cape Fear Animal Hospital employees in the building after-hours nor overnight. On weekends, kennel staff and a technician return to the building one time Saturday morning, one time Saturday evening, one time Sunday morning and one time Sunday evening for a limited period. The on call veterinarian will not be on the premises after business day end (6 pm) on Fridays. The on call veterinarian will be available by phone to our weekend staff. In the event that my pet's case may not be managed over the phone, Cape Fear Animal Hospital will arrange transport to Points East Veterinary Emergency Hospital. I agree that I am financial responsible for any medical treatment my pet(s) receives at PEVEH. I further understand that Points East Veterinary Emergency Hospital must be contacted to arrange for payment.

Gastroenteritis

Acute gastroenteritis is a term used to describe a syndrome characterized by the sudden onset of vomiting and/or diarrhea caused by gastrointestinal mucosal inflammation. Clinical signs of gastroenteritis can vary, including but not limited to inappetence, vomiting and/or diarrhea. There are other potential causes of gastroenteritis; however, the primary cause for Boarding/Daycare pets to have gastroenteritis is due to the stress of being in a boarding situation. Early intervention of Gastroenteritis is important. By signing this document, Owner understands that if their pet(s) exhibits any clinical signs of gastroenteritis, Cape Fear Animal Hospital will treat the pet accordingly with the recommendations of the on staff veterinarian. Owner understands that they are financially responsible to pay for any and all medical treatment deemed necessary by the on staff Veterinarian.

External/Internal Parasites

External and Internal parasites are prevalent in North Carolina and can carry a variety of diseases and cause a number of health risks to animals and people. If any external or internal parasite are detected on/in your pet, Cape Fear Animal Hospital will treat the pet for those parasites and owner will be financially responsible for any and all treatment. An internal intestinal parasite exam from a fecal sample is required every 6 months for boarding and daycare pets.

Vaccines

All boarding and daycare pets are required to be up-to-date on all vaccines including Distemper, Rabies, Influenza and Bordetella. Cats are required to be current on Rabies and Distemper Vaccines. All pets must have an exam with a Cape Fear Animal Hospital Veterinarian at least annually. If Pets are not up-to-date on required vaccines, Cape Fear Animal Hospital will vaccinate the pet and owner will be financially responsible for vaccinations.
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Name*

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Date*

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Please read each paragraph in full and initial This agreement is entered into by and between Cape Fear Animal Hospital (the“Boarding/Daycare”) and pet owner (“Owner”): Please check each box in agreement*

By enrolling the above named and described dog(s) and/or cat(s), I represent that I am the legal owner of the named dog(s) and/or cat(s) and I assume all risks, dangers and responsibility for injuries to the named dog(s) and/or cat(s). Owner understands and agrees that Owner is solely responsible for any harm to Owner’s dog(s) and/or cat(s) while Owner’s dog(s) and/or cat(s) is/are attending Boarding/Daycare.Owner understands that if the pet is a new patient to Cape Fear Animal Hospital, an entrance exam by a Veterinarian will be required, along with required/recommended testing and vaccinations.Boarding geriatric, chronically ill or otherwise debilitated pets requires extra care,which our caring and trained staff is happy to provide. However, special-needs pets, puppies and senior pets naturally have a higher risk of injury, stress-related illness, or exacerbation of any pre-existing condition. As such, by boarding your special-needs pet, puppy or senior pet with us you are waiving any claim for injury or illness experienced by your pet while in our care and that is not directly caused by the negligence or lack of care on the part of our staff.Owner further understands that even if Owner(s) dog is vaccinated for Bordetella(Kennel Cough) and/or Influenza (flu) there is a chance that the Owner(s) dog can still contract a respiratory infection and/or Influenza. I agree that I will NOT hold Cape Fear Animal Hospital responsible if Owner’s dog(s) contracts a respiratory illness.Owner further understands and agrees that it is the Owner(s) responsibility to leave an adequate supply of food and medications for Owner(s) dog/cat during the entire time Owner(s) dog/cat is cared for by Boarding/Daycare of Cape Fear Animal Hospital. Should the Owner(s) request their dog/cat be fed house food, or if the dog/cat requires a prescription diet, Owner(s) agrees and promises to pay the appropriate food charges.Controlled drugs: Due to DEA(Drug Enforcement Agency) requirements, we are not allowed to take any control drug prescription for any pet into our building to be administered to the pet while in our care. Owner understands that if their pet requires controlled drugs while in our care, the medication must be dispensed from our hospital stock and owner will be financially responsible for those medications given.Cape Fear Animal Hospital reserves the right to refuse admittance to any dog/cat or to dismiss any dog/cat that does not meet the health, temperament or other Daycare/Boarding safety standards. The determination shall be made at the sole discretion of Cape Fear Animal Hospital. If a pet is unable to be safely handled by our staff, owner understands that the pet will not be handled at all during boarding/daycare unless pet requires medical attention. Owners understand that they may be required to bring pet into the building on drop off and take pet out of the building on pick up. Owner understands that pet may need to be placed on medication while they are boarding/daycare for their safety and staff safety based on recommendations by a veterinarian and owner is financially responsible for the medication. Pets that are not able to be handled safely are not eligible for a nail trim or bath. If pet requires medical attention, owner is financially responsible for all sedation and medical intervention required. If pet is deemed necessary to be transferred to Points East Veterinary Emergency Hospital, owner is financially responsible for all costs incurred and payment must be made with Points East Veterinary Emergency Hospital directly.Pick up and drop off: Pets admitted for daycare/boarding are required to be dropped off no later than 4:30pm. Owners are required to pick up pets from boarding/daycare on the day scheduled to go home by no later than 5pm. Failure to Drop off or Pick up during the above appropriate times will result in extra fees and your animals may need to be dropped off and or picked up the following day at the expense of the owner. Owner understands that if Owner does not pickup Owner’s dog(s)/cat(s) as scheduled, and owner is unable to be reached in a reasonable time frame, Cape Fear Animal Hospital shall be authorized to proceed according to the local municipal code governing abandonment of animals.Owner understands that when a Bath is requested on the day the animal is to go home, the pet must be picked up after 3pm or pet may be still wet/damp from their bath. If owner decides to extend pet(s) stay, the pet will not get a second bath on the new scheduled day to go home unless owner requests otherwise. Owner will be responsible to pay for a second bath if requested.Owner understands that boarding a pet is a complete change of environment and schedule for pet. This change may include a new feeding and defection/urination schedule that predisposes your pet to having accidents in their kennel. This is not due to inappropriate access to elimination areas or neglect.
By signing below, Owner hereby certifies that Owner has read and understands this Waiver and Release of Liability and the regulations set forth above. By signing this agreement, Owner agrees to be bound by its terms and conditions.
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Date Signed*

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Pet Name(s)*
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Boarding Medical Release Form