Lodging / Grooming Agreement Form

Lodging / Grooming Agreement Form

(To be completed by all lodging/grooming clients)
I, the applicant, do hereby certify that I am the legal owner, or duly authorized agent for the owner of pets under the care of Eastside Animal Hospital.
Owner's Name*
Phone Number*

Area CodePhone Number
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Vaccines and Internal Parasite Testing:

In order for your pet to stay with us, vaccinations must be administered in accordance with our wellness care protocol. If your pet did not receive vaccines at this facility, you must provide us with documentation from a veterinarian that specifies vaccinations administered and intestinal parasite testing.

*Should the Canine Influenza vaccine be unavailable due to manufacturers back order, we will still allow your pet to lodge with us understanding that if your pet becomes ill due to canine influenza neither Eastside Animal Hospital nor the vaccine manufacturer will be held responsible or liable for any treatment or expenses incurred. Secondly, should the vaccine become available Eastside Animal Hospital will vaccinate your pet and you, the owner, will be financially responsible for any and all charges related to receiving the vaccine including any exams that would be necessary per hospital policy.
Vaccination Agreement*

Click to acknowledge Vaccination agreement.
External Parasites:

For the health of all of our lodging / grooming animal guests, Eastside Animal Hospital has established a flea-free/tick control policy. ALL ANIMALS using our lodging/grooming services must be up to date on a veterinary approved and veterinary dispensed flea prevention and tick control product.
External Parasite agreement*

Click to acknowledge External Parasite Agreement.
Lodging and Your Pet’s Health:
- Eastside Animal Hospital operates a veterinarian supervised lodge. We take the health and safety of your pet seriously. Please advise us of any health concerns upon entry to our facility.
- If your pet is on medication, this medication will be administered by trained personnel.
- Please bring your pets prescription medication in the originally dispensed child proof container. If medications need to be filled or refilled, applicable fees will be added to your invoice.
- Please alert us to any special medical needs (e.g., diabetes, kidney disease) that are relevant to your pet. We offer transitional care services for “fragile” and “senior” lodging guests. Additional service fees apply; ask us for details.
- We want your pet to enjoy us. Please alert us to any special handling requirements.
- When your pet is admitted to our facility, you are verifying that your pet is free from any contagious disease and he/she has not bitten anyone within the past 10 days.
- In the event that your pet(s) become ill and EAH is not able to reach you or the emergency contact number, we will pursue diagnostics and treatment. Applicable fees will be added to the invoice.
- In the event that your pet(s) become critically ill, you authorize EAH to transfer your pet to a 24-hour emergency hospital of EAH’s choosing.
- Eastside Animal Hospital is not staffed 24 hours a day. We make every effort to ensure that each patient is comfortable and stable prior to our late evening departure. By checking below you acknowledge awareness of our business hours.
Lodging agreement*

Click to acknowledge Lodging agreement.
Statement of Lodging Policies:
- For your convenience, a day’s lodging is charged for every night your pet is with us regardless of drop-off or pick-up times.
- Pets can be picked up between 10:00am and 3:00 pm Monday through Friday, unless one of those days falls on a holiday in which case the hospital will be closed, and Saturday 9:00 am – 12:00 pm. If you need to arrange pick up outside these hours, we can accommodate some requests which will need to be arranged at the time of your reservation. Additional fees will apply.
- We are closed on Sundays
- Personal items maybe left; however, we are NOT responsible for lost or damaged items.
- We provide bedding for your pet. However, if you prefer to bring your own bedding we will wash it once after it is soiled. Subsequently, your pet will receive our bedding during that stay. We are not responsible for damaged bedding.
- We strive for a stress-free, fear-free lodging experience. We provide “extracurricular” activities (playtime, strolls, fitness fun package, etc) to improve your pets time away from you.
- We make every effort to make your pet’s stay at our lodge a home away from home experience. However, we are not responsible for often unavoidable conditions in multi-animal environments such as, but not limited to, weight loss, hair loss, rough hair coat, respiratory infections, diarrhea, and odor upon pick up.
- Please leave us YOUR EMERGENCY CONTACT INFORMATION with each visit to our spa.
Lodging Policies agreement*

Click to acknowledge Lodging Policies agreement.

IF APPLICABLE: I choose to house my family pets together. I understand that Eastside Animal Hospital is not responsible for fights that may occur between my pets. If fighting occurs, pets will quickly be separated and appropriate additional lodging fees will apply.
Yes, I agreeNo, I don't agree
Emergency Contacts

Please list two contacts who are duly authorized agents and willing to make ANY decision for your pet should we be unable to reach you.
Contact 1 - Name
Contact 1 - Phone Number

Area CodePhone Number
Contact 2 - Name
Contact 2 - Phone Number

Area CodePhone Number
Should be Empty:

Lodging / Grooming Agreement Form

Emergency Contacts