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Boarding Consent Form
Critter Care Animal Hospital Pet Boarding Consent Form
Email *
Today's Date *
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Pet's First & Last Name: *
Date of Arrival *
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Date of Departure *
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Approximate Pick-up Time *
Time
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If this pet becomes ill while staying at our facility, please choose one of the following options: *
If option 2 was chosen for the above question, please specify the dollar amount:
My typed initials below indicate that I understand that my pet must have current vaccinations and parasite screening. If needed, my pet will be examined for external and internal parasites, treated for these parasites, and vaccinated at my expense, as determined by their medical record or the examination. Any pet with fleas will be given a Capstar tablet to kill them for the next 24 hours. ($7.50 for cats & dogs from 2-25 lbs; $7.98 for dogs over 25 lbs) *
Please list any additional services to be performed while your pet is staying with us:
Are you interested in daycare for your pet? (Your pet will be playing with a group of dogs of the same size) *
If yes, how many daily sessions would you like your to participate in during their stay?
Would you like a bath to be given on the day your pet is scheduled to go home? (If you answer yes, your pet will not be ready for pick up until after 1:00 pm) *
How many times do you feed your pet each day? *
The amount of food given at each feeding? Please specify whether it's a measuring cup, a scoop you'll be providing, a can or pre-measured bags. *
Are you bringing your pet's food with them? *
When is your pet due for their next feeding? *
Does your pet require medications while boarding? If yes, please be aware that a fee will be incurred daily for medications to be administered. *
If you answered yes to the above question, please list the medication(s) and dosage instructions below:
Please list all medications & their directions:
When is your pet due for their next dose of medication(s)?
Please list all belongings being left with your during their stay:
Please provide the name AND phone number of the person we can be contact in case of an emergency, including hurricane evacuation, when you cannot be reached: *
What is the best phone number to contact you if needed during your pet's boarding stay? *
My typed initials below indicate that I have read, understood, and agree with this authorization and consent. I also acknowledge that I am the party responsible for full payment of services for this pet at the time of pick up. *
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