Boarding Release Form

Client Name*

Patient Name*

Species*

Breed*

Patient Age*

Sex*

Check in Date*

Check out Date*

RATES PER CALENDAR DAY

Cat Condo | $35.00

Medium Kennel | $43.00

Large Kennel | $46.00

Indoor Run | $49.00

CONTACT INFORMATION:

Please list the number(s) where you can be reached during your pet's stay or an authorized treatment contact:

Preferred Contact Number(s)*

CallText

MEDICATION ADMINISTRATION:

Pricing: $5.00 for each administration (i.e. if your pet needs twice daily, the cost is $10.00)

Does your pet have any medical conditions we need to be aware of*

YesNo

If yes, please list your concerns:

Does your pet require medication to be administered during its stay*

YesNo

If yes, please list in detail the medication, frequency it is given and time of day:

Please note that we require all medications to be in their original dispensing bottle or packaging*

Please Initial

Dogs are walked outside 3 times daily. We provide food, water, and bedding. At the end of their stay, you have the option of having them bathed at a discounted rate. Baths include ear cleaning and nail trim.

Will you bring your own food for your pet?*

YesNo

If yes, please provide your food description and detailed feeding instructions below:

Feeding Frequency (please choose one)

Once DailyTwice DailyFree Feed

I would like my pet bathed before going home (Note: prices range from $36.75-$46.75 additional fee applies, baths are performed the day before the pet is scheduled to go home)*

YesNo

For an additional fee, we offer 25-minute trail walks along the Kimball Creek Trail - each trail walk is $25.

Would you like your dog to have trail walks during their stay?*

YesNo

If yes, please list which dates you would like your dog walked during their stay

While you are away, which would be your preference as it pertains to any health concerns that may arise while your pet is boarding with us? (most commonly, ear infections & GI upset)

Please select one of the following options*

Proceed with attending veterinarian's recommendations on any noted areas of concernPlease call with any treatment recommendations before proceeding

If your pet exhibits signs of stress and anxiety, may we administer medication at the discretion of the veterinarian to make him/her more comfortable?*

YesNo

Boarding charges are calculated per calendar day. If you pick up your pet by 10am you are not charged for that day. *

Please initial above.

All PETS ADMITTED MUST BE CURRENT ON THEIR PHYSICAL EXAMINATION BY A DOCTOR OF Salish Veterinary Hospital and their vaccinations must be up to date (DHPP, Bordetella, Rabies for dogs; FVRCP, Rabies for Cats). If your pet is 12 years of age, yearly blood testing is required. If your pet is 14 years or older, current blood testing and exam are required every 6 months. If your pet is past due, he/she will be examined and given necessary vaccinations and updated lab tests upon admission and current charges will apply*

Please initial above.

Please note that we strongly recommend all vaccines particularly Bordetella and FVRCP are boostered at least 2 weeks prior to your pet's stay to provide the best protection against upper respiratory infections*

Please initial above.

Pets must be free of external parasites. Pets found to have evidence of parasites will be treated at the owner's expense*

Please initial above.

You are welcome to bring your own bedding or toys. However understand that these items may be lost in our wash or misplaced during the stay and NOT returned *

Please initial above.

Please list any items you will be leaving with your pet:

Please read and sign below:

I acknowledge that my pet will be unattended overnight as Salish Veterinary Hospital is only staffed during open business hours.

Any pet not claimed within seven (7) days of pick-up date, without new provisions being made, will be considered abandoned, and becomes the property of Salish Veterinary Hospital and handled according to our best judgment.

The undersigned hereby warrants that they are the owner or authorized agent for the pet listed in this record and does consent and authorize Salish Veterinary Hospital to care for and treat said pet. If an emergency situation arises, I authorize services, including the use of anesthesia, if necessary, to treat my pet until such time as I can be contacted. I understand that every reasonable effort will be made to contact me as soon as possible if an emergency or unanticipated situation arises with my pet. If I am unable to be reached, I authorize the veterinarians to proceed with treatment as deemed necessary for the well-being of my pet. We will not be held responsible for problems caused by your pet eating bedding or other items left in its kennel. We will not be liable for problems caused by your pet scratching or other self-caused trauma. I understand I will be responsible for all

I have read the boarding requirements and understand the hospital policies.

Signature*

Date*

Boarding Release Form

Basic Comforts

Stay Enhancements

Emergency Information

Boarding Requirements