Pet Boarding Form - Vernon Woods Animal Hospital
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1Boarding Form
Patient’s Name: _______________________________________________
Owner’s Name: _______________________________________________
Drop off Date: __________
Pick Up Date: _________
For your pet’s protection, all vaccines must be current. We require Distemper/Parvo, Rabies, Bordetella
(kennel cough), and Influenza. Your pet should be free of internal and external parasites. If not, we reserve
the right to treat your pet. The kennel is not responsible for any personal belongings left with your pet.
Please check any additional services you would like while your pet is boarding:
Bath (Includes: Brush, Nail Trim & Ear Cleaning) If yes, date: _____________
Groom (Brush, Haircut, Nail Trim, & Ear Cleaning) If yes, date: _____________
Extra Walk Daily
Teeth Brushing Daily
Teeth Brushing – only with Bath/Groom
Nail Trim (Clippers or Dremel)
Food Instructions:
Feed In-house food
(We use a low residue/low GI upset: Iams or Eukanuba)
Brought food: Type: _______________________________________
Feed Daily: Once / Twice / Free Feed
Amount: ________
Fed Today: _______
Medications:
1. Med: _____________________
Dose: _______________
Given Today: ______
2. Med: _____________________
Dose: _______________
Given Today: ______
3. Med: _____________________
Dose: _______________
Given Today: ______
4. Med: _____________________
Dose: _______________
Given Today: ______
5. Med: _____________________
Dose: _______________
Given Today: ______
Did you bring:
Toys: ___________________________
Blanket: _________________________
Special Notes: __________________________________________________________
Is your pet currently taking Heartworm Prevention? Yes / No
Type: _____________________
Is your pet currently on Flea Prevention? Yes / No
Type: _____________________
If a problem should arise with your pet while under our care, we need permission to treat
your pet. We’ll make every attempt to contact you about an incident.
Signature: ______________________
Emergency Contact Name & Number: ________________________________________
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