Boarding Release Form

Save time before your drop off your pet for boarding! Complete your required forms online from any device at any time before your visit.

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Boarding Release Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call one of our locations for a faster response.

Owner's Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Pet's Name*

Boarding Location*

Alden Bridge

Cochran’s Crossing

Indian Springs

Check-In Date*

Check-Out Date*

Emergency Contact Name*

First Last

Emergency Contact Phone*

Would you like any additional services during your pet’s stay?

Bath

Nail Trim

Anal Glands Expressed

Microchip Placement

Please provide email address for registration*

Will you provide your pet’s diet?*

Yes

No

Please Feed Kennel Diet (Purina EN)

If yes, please name the food, list the amount given, and the feeding schedule.*

Did you bring any personal items for your pet (blanket, toys, treats, etc.)?*

Yes

No

If yes, please describe them*

Are there any medications to be given to your pet while boarding?*

Yes

No

** ALL MEDICATIONS MUST BE PROVIDED IN ORIGINAL LABELED BOTTLES** Additional boarding fees apply for pets on medications. Should you need more space for medications, please provide neatly written on an additional sheet of paper.

If yes, please list the name, amount given, how often to give it, and time of last dose.*

Please do so for all medication you will be providing.

Does your pet have any conditions or special needs the veterinarian(s)/staff need to be alerted about?*

Yes

No

If yes, please explain the medical condition/special need below:*

Terms of Boarding*

1. All pets must be current on all required vaccinations. For dogs, this includes distemper, adenovirus, parvovirus, kennel cough (bordetella), and rabies. For cats, this includes calicivirus, rhinotracheitis, panleukopenia, and rabies. If I cannot provide proof that my pet is current on all of these vaccinations, I authorize the doctor to administer the necessary vaccines at my expense.

2. My pet will be given a Capstar on arrival and on the day of departure to ensure a flea-free facility at my expense.

3. If the doctor is unable to reach me at the given numbers, I authorize any treatment for my pet that the doctor considers necessary for his/her health and safety. I understand that I will be charged for all treatments performed.

4. My pet will be fed and medicated according to the information provided above unless changes are deemed medically necessary by the Veterinarian.

5. If I am unable to pick up my pet on the expected check-out date, I will inform the Hospital of the check-out date as soon as possible.

6. I will not hold the Hospital responsible for inadvertent loss or damage of personal items left with my pet.

Payment is due when services are rendered. For your convenience, we accept cash, checks, all major credit cards, Apple Pay, and CareCredit.

I have read and agree

Signature*

Date*