Boarding Agreement

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Today's Date / Time

Date

Time

Pick-Up Date / Time

Date

Time

Owner's Name

your Date Special

Pet's name

Emergency Contact Name

Emergency Phone Number

Will anyone else be picking up your pet?

Please list any current medications your pet is taking

Special instructions

Would you like a bath for your pet?

Vaccination Policy

If not up-to-date, or if I am unable to provide proof of vaccination, I understand that my pet(s) will be vaccinated and/or tested in accordance with the above policy
If fleas or ticks are observed on my pet(s) while boarding, my pet(s) will receive a flea bath/treatment at my expense.

To ensure the protection of all pets under our care, the following must be up-to-date -
DOGS: Rabies, DHPP, Bordetella, Flu, Negative Stool Exam (within 6 months)
CATS: Rabies, FVRCP, Negative Stool Exam (within 12 months)

Medical Consent Policy

I understand if no one can be reached, Quarry Ridge Animal Hospital will perform whatever services the doctor deems necessary for the best care of my pet until someone can be reached. This includes only non-elective treatments and necessary diagnostics.

One advantage of boarding your pet(s) at a veterinary clinic or hospital is that veterinary assistance is readily available should the need arise. If your pet becomes ill, we will call the emergency number(s) listed above regarding your pet’s symptoms, treatment options, and estimated additional costs.

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