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732-972-3201
299 Route 9 S. at Union Hill Rd | Englishtown, NJ 07726
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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)
First
Last
Pet's Name
(Required)
May we contact you while you're away?
(Required)
Yes
No
Best way to contact while you're away:
(Required)
Home Phone
(Required)
Cell Phone
(Required)
Email
(Required)
Emergency Contact
(Required)
First
Last
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)
MM slash DD slash YYYY
Admission Time
(Required)
9:00 AM
9:15 AM
9:30 AM
9:45 AM
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
2:00 PM
2:15 PM
2:30 PM
2:45 PM
3:00 PM
3:15 PM
3:30 PM
3:45 PM
4:00 PM
Date of Discharge
(Required)
MM slash DD slash YYYY
Discharge Time
(Required)
9:00 AM
9:15 AM
9:30 AM
9:45 AM
10:00 AM
10:15 AM
10:30 AM
10:45 AM
11:00 AM
2:00 PM
2:15 PM
2:30 PM
2:45 PM
3:00 PM
3:15 PM
3:30 PM
3:45 PM
4:00 PM
Things we should know about your pet:
(Required)
Cage aggressive
Startled easily
Food aggressive
Escape artist
Food motivated
Not food motivated
First time boarding
Be cautious/go slow
Other (please specify)
N/A
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)
First
Last
Δ