Client Boarding Check-In Form

Pet Boarding Check-In Form
Thank you for choosing Rhinebeck Animal Hospital to take care of your pet! Please complete the fields below regarding care for your pet during his/her stay. If you have not already booked your boarding reservation, please call 845-876-6008 to confirm availability before filling out this form.
Contact Information
Owner's Name*

First NameLast Name
Telephone Number while away*
Format: (000) 000-0000.
Additional Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Emergency Contact's Name*

First NameLast Name
Emergency Contact Phone Number 1*
Format: (000) 000-0000.
Emergency Contact Phone Number 2
Format: (000) 000-0000.

Check-In/Check-Out

Mondays: 8:00am-6:00pm
Tuesdays: 8:00am-6:00pm
Wednesdays: 8:00am-6:00pm
Thursdays: 8:00am-6:00pm
Fridays: 8:00am-12:00pm; 2:00pm-6:00pm
Saturdays: 8:00am-4:00pm
Sundays: CLOSED

**Please be aware that certain federal holidays may impact hospital hours of operation.
YesNoI don't know.
No worries! A Rhinebeck Animal Hospital team member will finish up the reservation process for you upon receiving this completed form! If we encounter any issues with completing the reservation, we will contact you as soon as possible to best assist you.
Thank you for making your reservation ahead of time! In case your plans have changed, please enter the dates and times we can expect your pet to check in and check out. Then, you will be asked for a few details about your pet(s).
Check-In Date & Time (approx.)*

MonthDayYear
Date
Time*

Hour Minutes

AM/PM Option
Check-Out Date & Time (approx.)*

MonthDayYear
Date
Time

Hour Minutes

AM/PM Option
Will someone other than you be picking up your pet(s)?
If so, please indicate who.
1234

Vaccination & Treatment Policy

PLEASE READ THE FOLLOWING CAREFULLY:

I.) VACCINATIONS

To protect all pets, each dog and cat must have current vaccinations, unless otherwise specified by a veterinarian. If your pet is due for any vaccinations, they will be given during their stay for the standard vaccine fee.

Required CANINE Vaccinations:
Rabies
Canine Distemper
Canine Parvovirus
Bordetella
Canine Influenza (H3N2 & H3N8)*

Required FELINE Vaccinations:
Rabies
Feline Distemper

*In the spring of 2018 we began to see a few cases of Canine Influenza in New York State. Outbreaks of this highly contagious and serious disease usually occur in dogs that are in boarding kennels, grooming parlors, or areas frequented by many other dogs. There is a very effective vaccine available to prevent the disease, however, it takes two vaccines given two to three weeks apart and a total of 5 to 6 weeks to gain immunity. Although we have not seen any major outbreaks, we want you to be informed and have the option of vaccinating and protecting your dog. If you plan to board your dog or go to grooming parlors we highly recommend that you vaccinate your dog now. Further information is available on our website, www.rhinebeckanimalhospital.com.

In addition, if your pet has not been seen at our clinic within the past year for a wellness visit, they will require an exam with a veterinarian in order to receive the overdue vaccinations, which may be done during their stay.
**If your pet has received vaccinations at another clinic prior to this reservation, we would like to make sure our records are updated accordingly. Please attach any records of the vaccines here.

You may attach a document or photo.
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If you do NOT have records, we are happy to contact the clinic for you. Please provide the name and phone number of the clinic at which your pet received vaccinations (if not at RAH).
Please provide a clinic name and phone number.
II.) TREATMENT OF SYMPTOMATIC PATIENTS

Diarrhea is a common occurrence in boarding kennels and occurs for many reasons. Most often it is related to stress, change of routine, and change of usual daily environment. For cases of minor diarrhea or loose stool we will medicate pets with anti-diarrheal medication. If the loose stool continues for more than 24 hours your pet will be examined by a doctor, treated based on the findings, and you will be notified. You may be provided with medication to continue giving at home.

If you have any questions regarding this protocol, please let us know at the time of admittance.
As an authorized owner or agent of the above pet(s), I have read and understand the regulations above. While boarding at the Rhinebeck Animal Hospital, all vets have the right to treat the above pet as they feel necessary for any medical problems that may arise. I understand that I accept full financial responsibility for any treatment that need be given. I agree to pay additonal fees for optional services listed above. I understand that admission and discharge of my pet will occur during regular hospital hours.
I have read and agree to the terms stated above.
Signature of Owner or Authorized Agent*
Thank you!

If you may have any questions or concerns, please do not hesitate to contact us at 845-876-6008, or by e-mail at info@rhinebeckanimalhospital.com.

We look forward to seeing you and your pet!
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Pet Boarding Check-In Form