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Owner/Guardian Name

Phone

Email Address

Alternate Emergency Contact

Emergency Contact Phone

Pet's Name

Sex

Male
Female

Breed

Color

Check-In Date

Check-Out Date

How often does your pet eat?

How much does your pet eat, & at what time(s)?

Treat Instructions:

Does your pet have any food allergies?

Please describe:

Does your pet have any other allergies?

Please describe:

Did you bring any of your pet’s belongings?

Please List All:

Is your pet on medication?

Please list each medication name and detailed instructions:

Do you have any special instructions or is there anything we should know about your pet?

Is your pet spayed?

Is your pet neutered?

Notice

Notice:

**Please Be Aware That We Monitor The Appetite And Weight Management Of Every Cat Boarding At The Pet Vet. If One Of Our Boarding Cats Does Not Eat An Adequate Amount Of Food While Here (As Determined By The Doctor), An Alternate Food May Be Offered (~$2.50 Per Can), Or An Appetite Stimulant May Be Administered (~$8 Per Dose), At The Owner’s Expense. If Appetite Fails To Increase At This Point The Doctor Will Determine Further Course Of Treatment And An Attempt Will Be Made To Contact The Owner. Please See Below Regarding Emergent Cases.**

Would you like us to provide emergency care if required?

Disclosure

Emergency Disclosure:

*The Doctor determines what is considered an emergency. If there is a health concern with your pet, we will try to contact you first but if no return contact is made after a reasonable time, the doctor will proceed with necessary treatment at the owner's expense.*

Acceptance

By submitting this form, I agree that I understand and agree to the terms of service and authorize the boarding of the pet specified in this form.

Date