Boarding & Grooming Annual Terms of Service

Name*

First NameLast Name

Pet's Name*

First NameLast Name

Phone Number*

Email*

example@example.com

Permissions -*

I understand that during the course of the operations or procedures, unforeseen conditions may arise that may necessitate the performance of additional procedures. I hereby consent and authorize the performance of such procedures as necessary and desirable in the exercise of the veterinarian's professional judgment.I authorize the use of appropriate anesthesia and pain relief medication as needed before or after the procedure. I have been informed that there are risks associated with the use of any medication.I understand that hospital support personnel will be used as deemed necessary by the veterinarian.I understand the treatments and care being performed on my animal.I give Lazy 5 Vets permission to use my pet's picture in any advertising and social mediaFLEA FREE FACILITY POLICY I understand that my pet will be flea combed while they visit Lazy 5 Vets. If any fleas are found they will be administered Capstar to kill and prevent fleas for 24 hours.

Due to the extensive levels of care many of our boarders need, it is necesssary to know your wishes should life saving procedures need to be administered. Decisions regarding CPR and injectable medications to attempt to regulate heart and breathing are critical, and we must be prepared ahead of time. We do not anticipate any issues during your stay, but as we board many medically complex pets in this facility, we must know how you wish to proceed.

Please indicate below if you consent to CPR in the case of emergency.

Should you have any further questions regarding CPR, the cost and possible expectations, please let us know at check-in and we will have an assistant go over the details at that time.

I acknowledge my choice regarding resuscitation for my pet as noted below.*

Please proceed with basic cardiopulmonary resuscitation (CPR). I accept responsibility for all costs incurred.Please DO NOT proceed with basic cardiopulmonary resuscitation (CPR).

During visits, pets are often motivated by the use of peanut butter or cheese. I am aware of the risk and assume all responsibility for exposure if any allergies, both known or unknown.*

Please Initial

For Grooming Patients, please check*

I understand that if there are more than two failed (no call/no show) groom appointments in the year, my account may be subject to change in terms, such as put on a pre-payment schedule for a probationary periodShould clippers be needed to shave hair, I understand that pets may be sensitive to the vibration and movement of clippers. If the hair is matted or tangled tightly, these areas may become irritated and sore, and need additional treatment at a later date. I do not hold Lazy 5 Vets responsible for such additional medical care.

For Boarding Patients, please initial the following -*

I am aware that when my pet is engaged in group play and that injuries may happen while running, playing, and socializing with other pets. These can include but are not limited to torn ligaments, bites, puncture wounds, or complications from water and toy exposure. I do not hold Lazy 5 Vets responsible for any accident or complication that may arise from any altercation.Pets are monitored during day camp and luxury camping playtimes. If at any point, your pet is a danger to either staff or other play members, then it will be removed from the play group. If this is a repeated problem, then the pet will no longer qualify for group play and would have to play alone for an additional charge.Lazy 5 Vets is not responsible for items such as leashes, toys or blankets, etc. left with the pet.I understand that Lazy 5 Ranch Veterinary Hospital is not staffed 24 hours and patients that stay hospitalized are confined comfortably in cages/runs. They are monitored during our business daytime hours and weekend hours. For evening and weekend 24 hospital care Cabarrus Emergency Clinic does offer this service after-hours.

I understand that there are certain risks and complications associated with any operation or procedure, even general grooming and boarding. I have been advised of the nature of the service and procedures at Lazy 5 Veterinary Hospital, as well as the risks involved, and I also realize that results cannot be guaranteed whether surgery, hospital, grooming or boarding patient. I further understand that grooming and or boarding pets may become anxious, stressed or fearful and the staff will work to help communicate these situations with you, the owner, but you agree to not hold Lazy 5 Vets responsible for stress/anxiety/fearful related illness or injury.*

EMAIL 2

example@example.com

Boarding & Grooming Annual Terms of Service

CPR Consent

Treats