Boarding Agreement BOARDING AGREEMENT Today's Date MM slash DD slash YYYY Date of pick-up MM slash DD slash YYYY Time : Hours Minutes AM PM AM/PM Owner* Pet's Name #1* Bathe Yes No Clip Yes No Trim Yes No Pet's Name #2 Bathe Yes No Clip Yes No Trim Yes No Pet's Name #3 Bathe Yes No Clip Yes No Trim Yes No Person(s) to contact in case of emergency Telephone number(s)Special Instructions - include detailed medication directions, feeding instructions, etc.VACCINATION POLICY To insure the protection of all pets under our care, the following must be up-to-date: Dogs Cats Birds Annual Exam DHPP Bordetella Rabies Canine Influenza Leptospirosis Fecal O&P + Giardia Annual Exam FVRCP Rabies Fecal O&P + Giardia Annual Exam Viral Screening (Psittacosis, Polyoma, PBFD) Fecal O&P + Giardia If not up-to-date, or unable to provide proof of vaccination, I give permission to update my pet(s) vaccination in accordance with the above policy. In addition, if any fleas/ticks are observed on you pet(s) while boarding, he/she (they) will receive treatment (Capstar or Frontline) at the owner's expense. If not up to date, or unable to provide proof of vaccination, I give permission to update my pet(s) vaccinations in accordance with the above policy. Sign below.In addition, if any fleas/ticks are observed on you pet(s) while boarding, he/she (they) will receive treatment (Capstar) at the owner’s expense. Sign below.MEDICAL ILLNESS POLICY One of the advantages of boarding your pet(s) at a veterinary hospital is that veterinary attention is readily available should the need arise. If your pet(s) becomes ill, we will call the emergency number(s) listed above regarding your pet's symptoms, treatment options and estimate of additional cost. If no one can be reached however, please indicate your wishes below should your pet(s) require treatment to relieve immediate discomfort or to resolve an important medical condition, (INITIAL) Please perform whatever services the doctor deems necessary for the best care of my pet until someone can be reached. This includes only non-elective treatment and necessary diagnostics. I authorize up to (check one and indicate amount)* $200 $300 Treat what is needed (INITIAL) Do not administer any medical treatment until specific authorization is given. I have read and understand this agreement. I fully intend to pick up my pet(s) on the above-specified date. If circumstances change, I will notify Muirlands Animal & Avian Hospital of a new pick-up date. I understand that Muirlands Animal & Avian Hospital will use every reasonable precaution to assure my pets safety while in their care but will not hold the hospital responsible. I understand that Muirlands Animal & Avian Hospital does not have 24-hour staffing and my pet will not be monitored overnight. If my pet is not picked up within two weeks of the arranged date, or otherwise notified we may assume he/she to be abandoned and proceed as legal with the animal abandoned law acts of California State. I hereby authorized to pick up my pet/pets in case I am not available (payment/picture ID required) Signature* Date* MM slash DD slash YYYY Special Instructions: Provide my pet the following food option: Clinic Food Brought food for my pet I brought my own food. Please list the food name below. (Name of food) *Owner will be required to provide canned food or any special dietary preferences, no raw diets or cannabis products accepted in hospital.For the food you brought - please select the type of foodWetDryBothDid you already feed for the day? Yes No How much do you feed? How often do you feed? 1x a day, 2x a day, all day Amount given/ any other special instructions? Meds: My pet has medications to be given during boarding.* Yes No Name of Medication How many? What time? Do you give medication with food or treats? Yes No Were medications already given? Yes No Any other special instructions? Bathing & Grooming (Optional): Please select additional services for your pet Nail Trim Bath w/ Haircut Bath Anal Gland Expression Signature*
