Boarding Admission Form

Owner’s Name:

First Last

Pet(s) Boarding:

Emergency Contact Name

First Last

Phone #

Additional Emergency Contacts:

Vaccination Policy

I understand that state law requires rabies vaccination for all pets.

For Dogs: I also understand clinic policy requires a yearly Distemper/Hepatitis /Leptospirosis /Parainfluenza /Parvo vaccine, a yearly Canine Influenza vaccine, and a 6-month Bordetella (kennel cough) vaccine for boarding dogs.

NOTE: If our animal has never received an Influenza vaccine, a booster is required for the first year, two-four weeks after the first one is given.

For Cats: I also understand clinic policy requires a yearly FIV/Rhinotracheitis /Calici /Panleukopenia /Chlamydia Psittaci, for all cats to board.

Consent

I understand that if my pet is not up to date on these vaccinations when coming to board, they will be vaccinated upon arrival. Every animal that boards is also checked for fleas to keep a flea-free environment. I understand that if fleas are found on my pet, a flea eliminator will be administered for an additional charge.

Is your pet(s) on heartworm preventative?

Yes
No

If yes, what brand?

Is your pet(s) on flea prevention?

Yes
No

If yes, what brand?

Any vomiting, coughing, sneezing or diarrhea recently?

Yes
No

If yes, please describe:

Special food or feeding instructions?

Any additional requests or information that would be valuable to our kennel staff?

Owner Release

I understand you cannot guarantee the health of my pet. I understand and will not hold the clinic responsible for conditions that are unavoidable in boarding kennels, such as but not limited to: weight loss, hair loss, upper respiratory infections, bronchitis, diarrhea, and fleas. I understand all pets admitted to the clinic must be protected against communicable contagious diseases and must be free of internal and external parasites; or will be treated on entry or discovery at the owners/agent’s expense.

I understand in the event of my pet(s) illness, the staff will immediately attempt to contact me or my agent to discuss the problem and treatment options, but may not be able to contact me immediately and is therefore authorized to initiate appropriate treatment until my agent can be reached. If any problem is observed or develops:*

Please treat my pet(s) as required, you need not call me.
Perform only emergency and supportive care. Notify me for permission to begin any other treatment.
Do not evaluate any diagnostics and/or treatments until I am notified and consent for you to evaluate and treat as recommended

Consent

Should and EMERGENCY arise, I authorize the medical staff to sedate my pet(s) and/or perform such emergency procedures as may be necessary for the health of my pet(s) until I can be notified. I agree to pay, in full, all charges for necessary services rendered for and to my pet(s).

Consent

I understand that the clinic is not responsible for loss or damage to personal items left with the pet including, but not limited to: Leashes, collars, toys and bedding.

Consent

The clinic is to use all reasonable precaution against injury, escape, or death of my pet(s). The clinic and staff will not be held liable for any problems that develop provided reasonable care and precautions are followed, I understand that any problem that develops with my pet(s) will be treated and noted above and I assume full responsibility for the treatment expense incurred.

Consent

I will call if my “pick-up-date” changes so you can plan accordingly. If I neglect to pick up my pet(s) within 5 days of the date scheduled for discharge, and do not notify you within that time period, you may assume that my pet(s) is considered abandoned.

Consent

I understand there is an additional charge for any pet deemed aggressive during the boarding period.

Owner Signature:

Date:

Name & Phone number is responsible party to be reached in an emergency:

Hurricane Policy

Due to the past events of hurricanes seasons, if your animal is boarding here in the event of a Hurricane, you are responsible for picking them up or have an emergency contact come pick them up. Our boarding facility is NOT approved to withstand hurricane conditions: therefore, we will NOT be taking animals in for evacuation. For the safety of our staff and your pets, please have an alternative plan during this season.

Owner Release

Hurricane Policy

Need To See A Veterinarian?

Book an appointment with us!

We are happy to book an appointment for you. Quickly and easily schedule an appointment time that is convenient for you and your pet.