Pet Resort Admission Form - Adobe Veterinary Center

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Adobe Veterinary Center !
Pet Resort Admission Form!
All pets must have separate forms. We must have a form for each stay.!
!
Resort Guest Name____________________________________________________________!
Dates of Stay - from____________________ to__________________________!
I will be picking up [ ] prior to 11 a.m. or [ ] after 11 a.m.!
Has he/ she received a flea and tick preventative this month? [ ] yes [ ] no!
If yes, brand____________________________________________!
!
Food!
[ ] I brought my pet’s food from home!
or! !
[ ] Please use the Adobe resort food!
Amount: ________dry _______canned!
Dogs: There is a charge of $2.44/can of canned
food. !
Cats: There is a charge of $1.97/can of canned
food. !
Feeding Schedule: !!
[ ] once a day AM ! !
[ ] twice daily!
!
!
[ ] three times!
!
!
[ ] free choice!
Does he/she still need to be fed today: [ ] yes [ ] no !
If your pet is not eating well, may we add some canned food? [ ] yes [ ] no!
Dogs: There is a charge of $2.44/can of canned food. !
Cats: There is a charge of $1.97/can of canned food.!
(If bringing more than one pet) My dogs/cats will need to be fed separately: [ ] yes [ ] no!
!
Current
Medications!
Name of
medication_____________________________________directions_______________________________!
Name of
medication_____________________________________directions_______________________________!
Name of
medication_____________________________________directions_______________________________!
Name of
medication_____________________________________directions_______________________________!
Name of
medication_____________________________________directions_______________________________!
Has he/she received all of today’s morning medications? [ ] yes [ ] no !
!
Charges for medication administration are as follows;!

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