Boarding Contract

Owner’s Name*

Pet(s) Name(s)*

In case of an emergency, who do we contact?

Name

Phone

Please initial one of the following, in case we cannot contact anyone:

Please initial one of the following, in case we cannot contact anyone:*

We may do ALL that is needed to diagnose and treat medical problems.
We may perform only life-saving procedures until we get further authorization.

We require that all of our boarding patients be current on vaccinations and an intestinal parasite screening. If any are due at time of boarding, we will require the services be rendered upon admittance. If these services were rendered at another clinic, you must submit these records to us before or at time of admittance. If records are not received, we will require these services be rendered at admittance. All associated fees will be required to be paid in full at pick up.

Additional Services you want rendered:

Additional Services you want rendered:

Nail Trim
Express Anal Glands
Other

Please define

Items Left:

Items Left:

Collar/Color
Leash/Color
Carrier/Color
Food/Treats
Medications
Toys
No Items Left

Collar Color*

Leash Color*

Carrier Color*

Medications supplied and to be administered:

Name:

When?

Name:

When?

Name:

When?

Feeding Instructions:

If you are providing food, what brand of food is it?

Feeding Frequency :

Once: in the Morning
Once: in the Evening
Twice a day: both AM and PM

Amount per feeding in Morning:

Amount per feeding in Evening:

Amount per feeding in AM:

Amount per feeding in PM:

If you have multiple pets, would you like them to board together?

Yes
No

There is no need to bring blankets, as we refresh bedding at least twice a day. We ask that toys stay home to minimize choking hazards, as well as foreign body ingestion. We will examine your pet for fleas when admitted. If there is evidence of fleas, a fast acting pill will be administered immediately. If your pet is staying longer than one day, we will administer a longer lasting prevention (as the fast acting pill only kills fleas for 24 hours). Both will be at an additional charge to you. Charges will vary depending on the prevention needed.

Name

This field is for validation purposes and should be left unchanged.

RICHMOND ROAD VET CLINIC BOARDING CONTRACT