Boarding Admission Form

1. One of the advantages of boarding your pet in a veterinary hospital is that veterinary attention is readily available should the need arise. If your pet becomes ill, we will call the emergency number(s) listed regarding your pet’s signs, treatment options, and additional costs.

Please indicate your wishes below should your pet require treatment to relieve immediate discomfort or to resolve a medical condition:(Required)

Please perform whatever services the doctors of Animal Health Care deem necessary and address my pet’s needs with the understanding there will be additional costs.

Do NOT administer anything but emergency medical care until someone can be reached.

PLEASE NOTE: ROUTINE SERVICES ARE NOT PROVIDED DURING BOARDING.

2. Pets can be admitted for and discharged from boarding between 9AM-11AM and 2PM-4PM

3. If you are unable to pick up your pet on the planned day, please call so that we can make the necessary arrangements for their continued care.

Owner's Name(Required)

Pet's Name(Required)

May we contact you while you're away?(Required)

Yes

Best way to contact while you're away:(Required)

Home Phone(Required)

Cell Phone(Required)

Email(Required)

Emergency Contact(Required)

Emergency Contact Phone(Required)

Boarding Request

Please note that we schedule boarding admissions and discharges between 9:00-11:00am and 2:00-4:00pm. We do not schedule admission/discharge on Sundays.

Date of Admission(Required)

Admission Time(Required)

Date of Discharge(Required)

Discharge Time(Required)

Things we should know about your pet:(Required)

Items Left with Pet

We prefer that you do not leave toys or pet bedding due to sanitation procedures. We cannot be responsible for any item left with your pet.

Medications to be given (in their original container). Please specify the medication name and instructions (dose, AM/PM, etc.):

Food Type:(Required)

Canned

Dry

Additional Food Instructions:

How did you hear about our boarding services?(Required)

Current Client

Google Search

AHC Website

Social Media

Family/Friend

Other

This we should know about your pet ("Other"):

Please confirm that you have read the above policies and agree to the terms stated:

Owner Signature(Required)

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