Pet Resort Admission Form - Adobe Veterinary Center (Page 2 of 3) in pdf

oral medications $2.50 per day, injectable medications $4.50 per day!

Is he/she allergic to anything? [ ] yes___________________________________________ [ ] no!

Please list all current and ongoing medical conditions

_______________________________________________________________________________________

_______________________________________________________________________________________!

My pet…!

[ ] is aggressive with dogs [ ] is aggressive with people [ ] is destructive!

[ ] has separation anxiety [ ] has storm phobias !

Is there anything else you would like us to know about your pet?

_______________________________________________________________________________________

_______________________________________________________________________________________!

If your pet does not already have a microchip, would you like us to place one for $68.25 which

includes the one-time registration fee? [ ] yes [ ] no [ ] my pet has a microchip!

Requested A La Carte Enrichment Services:!

Comfort!

[ ] Spa Bath ($25.00) We recommend that all dogs have a bath during their stay.!

[ ] Nail Trim ($15.00)!

[ ] Anal Sac Expression – dogs only - ($18.00)

[ ] Deluxe Bath ($45.00) – bath, brush, ear cleaning, nail trim, anal sac expression!

The Deluxe Bath is complimentary with luxury runs.!

Tasty Treats for Dogs!

[ ] Kong Treat ($3 each)

how often ____________________________________________!

[ ] Frosty Treats ($3 each)!

how often____________________________________________!

[ ] Lean Treats ($1 each scoop) how often____________________________________________!

Tasty Treats for Cats!

[ ] Lean Treats ($1 each scoop) how often____________________________________________!

Please provide us with a local contact person in the event that we cannot reach you. !

Name ___________________________________________ Phone number ______________________!

Personal Belongings:!

We cannot accept responsibility for leashes, toys, blankets, etc. that may become lost while your

pet is in our resort. We do provide bedding and toys in the resort for all pets during their stay. !

If you insist on leaving any personal belongings, please provide us with a list below. All

belongings must be identiﬁed with permanent marker.!

_______________________________________________________________________________________

Pet Resort Admission Form - Adobe Veterinary Center Page 2