Boarding Policy/Release Form Client Name Patient(s) Name In case of illness or injury,1,undersigned,do hereby give my authorization and consent for the doctors of hospital to treat,prescribe for,or operate upon my pet(s) while they are begin boarded in the hospital. They are to use all responsible precautions against illness,injury,or escape of my pet(s) but they will not be held liable or responsible in any manner whatsoever,under any circumstance,on account of the care,treatment,or safe keeping of my pet(s),as it is thoroughly understood that I assume all risks. Should the circumstance arise that my pet(s) remain unclaimed after the date which I have stated as the pick-up date,I understand that written notice will be mailed to the address below.Ten(10) days after such written notice the pet(s) will be consider abandoned and may be disposed,or destroyed,as the hospital deems best,It is further understood that such action will not relieve me from paying all costs of the services,including the cost of boarding services. My pet has been fully vaccinated with in the last 12 months.If I cannot show any proof of such vaccinations,then I give permission to the hospital to administer vaccination required for the boarding of my pet(s). Canine Requirements for Boarding Current DA2LPP vaccination Current Rabies vaccination Current Bordetella vaccination(Required for one year) Negative Heartworm test(required if your pet(s) is over 6 months of age or NOT current on Heartworm prevention) Negative Fecal test(Required every 6 months) Feline Requirements for Boarding Current Feline Distemper vaccination Current Feline Leukemia vaccination Current Rabies vaccination Negative FeLV/FIV(Feline Leukemia & Feline AIDS Test) Negative Fecal test(Required every 6 months) *We are closed from Noon on Saturday through 8am Monday morning.WE DO NOT allow pet pick-ups during this time.* ***We do reserve the rights totreat your pet(s) for external or internal parasites(i.e Fleas,Ticks and Intestinal worms) if noted during their stray. Telephone number where the owner can be reached: Begin Boarding date: End Boarding date: Signature of Owner:Date MM slash DD slash YYYY CAPTCHA
