Boarding Information Form printable pdf download

Boarding Information Form

Pet Owner: ______________________

Pet Name:_______________________

Date Admit: ______________________

Date Discharge: __________________

Condo/Cage/Run #: _______________

BOARDING INFORMATION

Weight: ________________________

VACCINATION DUE DATES

DHPP:

DHP:

PARVO:

BORDETELLA:

RABIES:

FVRCP:

FELV TEST(<1YR)/FELV VX (<3 YRS):

EMERGENCY CONTACT NUMBERS

NAME:

NUMBERS:

NAME:

NUMBERS:

PET BELONGINGS

CHECK IN:

CHECK OUT:

Please remember that we cannot insure the safe return of any item left while boarding at our facility.

SPECIAL INSTRUCTIONS:

MEDICAL CONDITIONS:

MEDICATIONS:

YES

IF YES, SEE MEDICATION SHEET

FEEDING INSTRUCTIONS

OWN FOOD:

YES

BRAND::

QUANTITY:

___________TIMES/DAY

MY PET HAS ALREADY BEEN FED TODAY:

YES

Special Instructions:

PLAYTIME

If your pet is older than 6 months, they must be neutered to enjoy playtime

Does your dog play well with others?

YES

If so, would you like your pet to have playtime with other animals?:

YES

Playtime will be based on the boarding supervisor’s opinion. Only dogs with compatible temperaments will be permitted to play together, and the

boarding staff will accompany them at all times.

AUTHORIZATION FOR MEDICAL TREATMENT

I authorize Animal Medical & Surgical Center to treat my pet for medical conditions that may arise.

OWNER SIGNATURE:

ESTIMATED EXPENSES

BOARDING:

DAILY MEDICATION:

INSULIN:

BATH:

EXAM:

DHPP:

BORDETELLA:

RABIES:

FVRCP:

FELV:

FLEA/TICK PREVENTION:

OTHER:

BOARDING STAFF CHECKING IN:



All pets must be current on their vaccinations. If we do not serve the veterinary needs of your pet at our facility, please provide us with records of your

pet’s vaccination history.



Your pet will be treated for external parasites upon entrance at an additional charge, if needed, as not to contaminate this facility or the other pets

staying here.



It may be necessary to temporarily move your pet from their assigned run or cage in order to maintain a clean and sanitary environment.



I understand my pet may require light sedation if he or she becomes overly stressed or anxious while boarding.



WE WILL NOT RELEASE PETS AFTER BUSINESS HOURS OR ON HOLIDAYS – OWNER INITIALS _________

SIGNATURE: _____________________________________________

DATE: _______________