Below are the required forms for you to print at your convenience. Please print and fill out the forms. When you arrive for your pet's boarding stay, checking in at the front office will be less stressful for your pet. The required paperwork will be finished and you can be on your way. Thank you.
Page 1 Owner Release Form
I understand you can not guarantee the health of (Petís Name) I understand and will not hold the clinic responsible for conditions that are unavoidable in boarding kennels, such as but not limited to weight loss, hair loss, upper respiratory infections, bronchitis, diarrhea, and fleas.I understand all pets admitted to the clinic must be protected against communicable contagious diseases and must be free of internal and external parasites or will be treated on entry or discovery at the owner / agentís expense.
I understand that in the event of(Petís Name)illness, the staff will immediately attempt to contact me or my agent to discuss the problem and treatment options, but may not be able to contact me immediately and is therefore authorized to initiate appropriate treatment until or my agent can be reached.
If any problem is observed or develops: (please mark one)
_____Please treat (Petís Name) as required, you need not call me.
_____Perform only emergency and supportive care. Notify me for permission to
begin any other treatment.
_____Do not perform any diagnostics and/or treatment until I am notified and consent
for you to evaluate and treat as recommended.
Should an EMERGENCY arise, I authorize the medical staff to sedate (Petís Name) and/or perform such emergency procedures as may be necessary for the health of (Petís Name) until I can be notified.I agree to pay, in full, all charges for necessary services rendered for and to (Petís Name).
I understand that the clinic is not responsible for loss or damage to personal items left with the pet including but not limited to leashes, collars, toys, and bedding.
The clinic is to use all reasonable precaution against injury, escape, or death of (Petís Name). The clinic and staff will not be held liable for any problems that develop provided reasonable care and precautions are followed.I understand that any problem that develops with (Petís Name) will be treated as noted above and I assume full responsibility for the treatment expense incurred.
Page 2 Boarding Admission Form
BOARDING ADMISSION FORM Owner, Pet's Name: Date
Copy of current vaccinations and worming must be presented prior to boarding: Pet History Vaccination History:
Has (Pet's Name) been checked for intestinal parasites in the last 6 months?________ Any vomiting, coughing, sneezing or diarrhea or any other conditions that we should be aware of?________________________ Is (Pet's Name) allergic to any drugs or foods?What?_______________________________ Has (Pet's Name) had any illness or injury in the past 30 days?___________________ Is (Pet's Name) on any medication?What? __________________________________ Current Diet: ________________________________________________________ Special Feeding Instructions:___________________________________________All Vaccinations need to be current before boarding. We will give them if they are not current. All animals will be fed Science Diet Sensitive Stomach only.Exception:z/d or prescription diets. No diets or bedding from home. Heated floors and resting benches provided in each kennel. There is a $3.00 fee per day for medicating. I give Doctors and Staff of Mountainaire Animal Clinic permission to treat (Pet's Name) any emergency conditions that may develop. Estimated pick up date: _________ Clinic hours 7:30-8:00 Mon, 7:30-5:30 Tues-Fri, 8:30-12 Sat Saturday and Sunday Evening Pickup:6:00-7:00 p.m. only, no exceptions
I have been provided with a copy of the boarding policy handout/brochure explaining boarding policy and regulations.