• Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • :
  • Include Medication, Directions, Feeding Direction, and Anything you wish the Doctor to check for
  • For Your Pet's Health

  • To insure the protection of all pets under care, the following MUST be up-date:
  • To insure the protection of all pets under care, the following MUST be up-date:
  • 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.

    Due to our boarding facility policy, your pet has to receive a flea/tick Dip at the beginning of its boarding, and a Bath/or Grooming, at the scheduled pick up time at an additional charge.
  • One of the advantages of boarding your pet(s) at the veterinary clinic or hospital is that veterinary attention is readily available should the need arise. If your pet(s) becomes ill, we will call the emergency number listed above regarding your pet’s symptoms, treatment options and estimate of additional costs.If no one can be reached however, please indicate your wishes below by writing your initials, should your pet(s) require any treatment to relieve immediate discomfort or to resolve an important medical condition.
  • I have read and understand this agreement. I fully intend to pick up my pet(s) on the above specified date, if my circumstances should change, I will notify the veterinarian of a new pick up date.

  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.