Boarding Authorization Form Boarding Agreement Form Boarding Agreement Form Date of Drop-off * Date of Pick-up * Time of Pick-up I understand that there is no pick-up time during closed hours including Sundays and holidays. * I understand Name * Name First First Last Last Email * Emergency Contact Name(s) Emergency Contact Phone Number(s) Pet(s) Name * Pet(s) current medications and dosages Continue medications while boarding? * Yes No If yes, when should we start medications? If yes, what medication (please include dosage and frequency Pet(s) food and belongings * Please note: ONLY bring pet's food and medication (if necessary). We provide bowls and bedding. Own bedding will not be accepted at check-in. If food is not provided, they will be provided with a sensitive stomach diet. We are not responsible for any lost or damaged items. Special feeding requirements (if any) VACCINATION REQUIREMENTS To ensure the protection of all pets under our care, the following must be up to date: Canine Vaccines: Rabies, Da2P Booster, BordetellaFeline Vaccines: Rabies, FVRCP Booster Both must have a negative intestinal parasite exam within the last 3 months If not up-to-date, or unable to provide proof of vaccination, I give my permission to update my pet’s vaccinations in accordance with the above policy: Yes No (Your pet will not be able to board with us) SAME DAY ENCLOSURE WAIVER Arbor Pet Hospital's policy is all patients are kept separately due to possible injury or illness. Housemates will be walked together and placed in eye sight of each other, if possible. In the event an owner has requested housemates be kept together in the same boarding enclosure against Arbor's policy, the owner understands and agrees that neither Arbor Pet Hospital nor any of its employees will be liable for illness, injury, death, pregnancy (if not altered), and/or escape of owner's dogs provided that reasonable care and precautions are followed, and owner hereby releases Arbor Pet Hospital and its employees of any liability of any kind whatsoever arising from or as a result of owner's dogs attending Arbor Pet Hospital. The owner shall be financially responsible for all medical treatment necessary in the event there is an illness or injury due to the pets staying in the same boarding enclosure as requested. I request my pets be kept in the same boarding enclosure, I understand and agree to the above waiver. I agree BOARDING CHARGES Boarding per night, bath before pickup, necessary medical treatment (vaccinations or medical illness). I also understand there is a $14.00 daily boarding extension fee that will incur for last minutes changes to your pickup date while pet is in our care. Additional bathing charges may be incurred if additional baths are needed in these circumstances. I understand and agree the above stated Boarding Charges * I agree MEDICAL ILLNESS POLICY (PLEASE READ CAREFULLY) One of the advantages of boarding your pet at an animal hospital is that veterinary attention is readily available. If you pet becomes ill, we will call the emergency number(s) listed regarding your pet’s condition. If no one can be reached however, medical care will be provided to alleviate discomfort and palliate the medical condition. Please indicate your wishes below should your pet require non-emergency treatment. Please note that emergency life saving measures will be performed if the situation if life threatening. Although it is not our expectation that your pet becomes ill after boarding it is a possibility of contagious diseases to be spread and your pet may be at risk. We ensure all patients staying with us are fully vaccinated and sick animals are kept separated but we are a medical facility. Please note if your pet experiences illness after boarding, medications and/or diagnostics will be the owners financial responsibility. Please check one * Please perform whatever services the doctor deems necessary for the best care of my pet until someone can be reached. This includes non-elective treatments and necessary diagnostics. I understand I am financially responsible for all accrued charges. Do not administer medical treatment until specific authorization is given by: Please note: Emergency life saving measures will be performed in a life-threatening situation and you will be financially responsible for any accrued charges. I understand if my pet is admitted with fleas, they will receive a Capstar Treatment. If an intestinal parasite detection result is positive, a deworming will be administered at a cost to the owner. * I understand I have read and understand this agreement. By electrically signing this agreement I understand that I assume financial responsibility for all services rendered, and that payment is due at the time of release from the hospital. * I understand Signature * signature keyboard Clear Date * PLEASE GIVE 24 HOUR NOTICE IF PICK-UP DATE WILL BE EARLIER OR LATER THAN SCHEDULED, THANK YOU!! Captcha Submit If you are human, leave this field blank.
