Boarding Consent Form

By clicking here, you agree that you understand that completing this form does not reserve a kennel for your pet. You must call our office at (714) 633-4496 to make a reservation*

Yes, I agree

Please fill out the following form and click "Submit" when finished before the date of your Check-In to help to ensure a more efficient check-in process.

Your Name*

First NameLast Name

Pet's Name*

Breed*

Color*

Sex*

EXAMPLE: MALE/NEUTERED or FEMALE/SPAYED

Age*

Weight*

Check-In Date*

Date

Check-Out Date*

Date

Emergency Contact*

Phone Number for text messaging

We recommend that you bring your pets normal diet at time of boarding to avoid any gastrointestinal upset. For convenience, it is acceptable to premeasure the food. If food is not provided, we will feed our hospital diet: Purina EN a sensitive stomach formula.

What type/brand of food does your pet eat?*

How much food do you feed your pet?*

How often do you feed your pet?*

Additional comments:

We are happy to give your pet their medication(s).

Please list any medication(s) your pet is currently taking along with dosages and how often they are given. Please note that any medications administered while boarding MUST be in their original bottle (we cannot accept medications in a pre-dosed pill caddy, ziploc bag, etc.).

Medications

EXAMPLE: VETMEDIN 1.25MG, ONE TABLET TWICE DAILY.

We provide items such as beds, blankets, leashes and food bowls. We try to discourage belongings being brought from home. If there is something from home that your pet finds comfort in, you are welcome to bring it at your own risk. We will make every effort to assure the item(s) are not ruined or misplaced but cannot make guarantees. Please note that bedding (in particular) will need to be washed and we are not responsible for damage or loss.

I understand that Orange Canyon Pet Clinic is not responsible for lost or damaged toys, bedding, or other items left with my pet. By clicking Yes, you have read the above & are in full agreement.*

Yes, I Agree

Please list and describe all items you will be bringing with your pet

Orange Canyon Pet Clinic Boarding Release

Medications: If your pet will be receiving medication during his or her stay, it must be in the original veterinary-labeled containers with instructions for administration.

Vaccine Requirements: In order to protect the health of your pet, this facility requires all pets are current on vaccinations. Pets that are so young that they have not completed their entire series of vaccinations may not yet be protected and, thus, owners accept any risks of infection.

Vaccines are required as followed:

Dogs: Must have a current exam on file with our clinic within 1 year and must be current on the DHPP, Rabies, Influenza and Bordetella vaccines. They must also have a negative fecal test within 1 year, as well as a current Flea/Tick Preventative.

Cats: Must have a current exam on file with our clinic within 1 year and must be current on the FVRCP and Rabies vaccines. They must also have a negative fecal test within 1 year, as well as a current Flea/Tick Preventative.

Drop Off:

Monday through Friday: 8:00 a.m. to 4:00 p.m.

Saturdays: 8:00 a.m. to 12:00 p.m.

Pick Up:

Monday through Friday: 7:30 a.m. to 5:00 p.m.

Saturday: 7:30 a.m to 1:00 p.m.

Pick ups and drop offs are not available on Sundays or holidays.

By clicking here, you agree that you've read the above & are in full agreement.*

Yes, I agree

Is your pet current on flea/tick prevention? (If your pet is not current, we will administer a single, 30 day dose of Simparica Trio or Revolution for $32.00)

YesNo

When was the last dose of flea/tick prevention administered?

What product was administered?

Ex: Simparica, bravecto, revolution, etc.

Would you like to upgrade to Premium Boarding for an additional $24.00 per night? (dogs only, minimum of 3 nights stay) *Includes extra 30 minute walk each day, one photo update during stay and a bath on the day of pick up.

YesNo

Additional services requested:

EXAMPLE: BATH, EXAM, MEDICATION REFILL

Signature

If your pet has an exam and/or labwork performed during their stay with us, how would you like the doctor to notify you of the results?

Phone Call/VoicemailText MessageAppointment set at time of pickupNot Applicable

Please verify that you are human*

Boarding Consent Form

Reservation Details

Feeding Information

Medications

Belongings