Boarding Agreement

Boarding Agreement
Client Name*

First NameLast Name
Contact Phone Number*
Format: (000) 000-0000.
Emergency Phone*
Format: (000) 000-0000.
Contact Email Address*
Agent Name
Agent Phone
Format: (000) 000-0000.
Pet Information
Pet's Name*
Check-in Date*

MonthDayYear
Date
Check-out Date*

MonthDayYear
Date
I would like my pet to have a bath on (Additional fees apply)

MonthDayYear
Date
Pick-up Time

Hour Minutes

AM/PM Option
Please ensure that your designated agent is aware that you have given us his/her name, and is willing and able to make decisions regarding the care and well-being of your pet.

Any pet not claimed within ten (10) days of pick-up date, without new provisions being made, will be considered abandoned, becomes the property of Meyerland Animal Clinic, P.A. and handled according to our best judgment. Payment will still be due in full.
ALL PETS ADMITTED MUST BE CURRENT ON THEIR VACCINATIONS. If your pet is past due, your pet will be examined and given the necessary vaccinations upon admission, and current charges will apply. THEY MUST BE FREE OF EXTERNAL PARASITES, and pets found to have evidence of parasites will be treated at the owner’s expense. If your pet has special dietary needs or preferences you must provide the food or it may be provided at current charges.

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Medications

Your must bring all medications in their original containers. If medications are not provided, you will be charged at the current rates. Please list any/all medications below, their dosages and instructions

Rows	Medication Name	Dosage Amount	Dosage Instructions	Time Last Given ?
1
2
3
4
5

Feeding Instructions and other special needs
Please specify your pet's feeding instructions*
Please specify any unique needs of your pet*
Medication Administration Fees & Additional Boarding Services
Administration of Oral, Transdermal, or Injectable Medications is provided at a service of $4.00 per day.

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Extra Care with Medical Supervision for Diabetic Pets or Pets with Extensive Special Needs is provided as an additional service for $24.00 a night. These pets will receive close monitoring by our trained staff of medical professionals during the hospital’s normal hours.

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The undersigned hereby warrants that they are the owner or authorized agent for the pet listed in this record and does consent and authorize Meyerland 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. I understand I will be responsible for all charges incurred at checkout.

If I have requested that medical, surgical, dental, or other services be performed for my pet while it is residing in the boarding kennel, I consent to and authorize Meyerland Animal Clinic to perform diagnostic, therapeutic, anesthetic, emergency, and surgical procedures as are necessary and advisable for the treatment and maintenance of my pet’s health and well-being. I understand that with any procedure or treatment there are risks that may not be predictable, including death, and I accept these risks. While I expect all procedures to be performed to the best of the abilities of the staff, I acknowledge that no guarantee or warranty regarding the outcome or results of any treatment has been given. I acknowledge that hair may be shaved or clipped as necessary to facilitate treatment. I expect that reasonable precautions will be used to ensure my pet’s safety and well-being while in Meyerland Animal Clinic’s care, and I agree to pay in full for all services provided at the time of discharge. I understand that if an unanticipated need for additional procedures or services (e.g. extractions of teeth, biopsies of abnormal tissues, etc.) occurs, a reasonable effort will be made to contact me using the contact information provided above. I understand that if I cannot be contacted, that non-emergency procedures or services will not be performed, at that this may mean that my pet may need to have another procedure at a future date at my expense.

During hurricane season we may have to close to ensure the safety of our employees. Any boarding pets must be picked up by you or a designated representative 24 hours prior to landfall of a hurricane in the Houston/Galveston metroplex.
Date*

MonthDayYear
Date
Signature*

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Should be Empty:

Boarding Agreement

Pet Information

Medications

Feeding Instructions and other special needs

Medication Administration Fees & Additional Boarding Services