Drop-Off / Boarding Pet Info Form

Practice *

—Please choose an option—Vethouse branch 1Vethouse branch 2Vethouse branch 3

Reason for drop-off (please check all that apply) *

Wellness ExamVaccinationsGroomSick Exam/ProcedureBoarding

Drop-off Date *

Boarding Pick-up Date (if applicable) *

Would you like your pet to have a bath? *

—Please choose an option—YesNo

Additional Bathing/Boarding Services (optional)

Top Dog PackageNail TrimNail DremelBrush TeethMicrochipTLC PackageExpress Anal Glands

Have you noticed any of the following? (Please check all that apply) *

Change in appetiteChange in thirstLethargyVomitingDiarrheaLimpingNone

Food to be offered during your pet's stay: *

—Please choose an option—House food (Science diet sensitive skin and stomachOwner provided (please package in airtight container ziplock bags are acceptable)

Minimum vaccine and parasite tests necessary for hospital admission: Rabies, DAP/FVRCP, Bordetella (dogs only), Influenza (dogs only), Fecal examination. Any out of date vaccinations can be scheduled at time of drop off. Additional vaccinations may be recommended based on individual needs. Vaccinations and tests can be discussed with a staff member at drop off.
Parasite Policy: If any fleas, ticks, or other parasites are observed, that pet will be treated for these parasites at the owner's expense.

Boarding Illness Policy: In the event your pet becomes ill or a medical condition arises, we will make every effort to contact you through the emergency phone numbers. If no one can be reached, please indicate your wishes should your pet require treatment to relieve discomfort or treat a medical condition. *

Please perform whatever services the Doctor deems necessary for the best care of my pet(s) until someone can be reached.

I DO NOT authorize treatment of my pet(s) until someone can be reached.

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