Gunbarrel Veterinary Hospital



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Boarding Instructions

Name of Pet: ____________________________ Owner: ___________________________

Boarding Dates: Drop off: ___________________ Pick Up: __________________________

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Doggie Day Care: Do you want doggy day care for $17.25 extra per dog/day Yes χ No χ

THE SUN LOUNGE (For older, less active, or small dogs.) $17.25 extra per dog/day Yes χ No χ

HALF DAY OPTION: (Roughly 5 hours of play time) $8.75 extra per dog/day Yes χ No χ

Circle the day(s) that you want your dog in Day Care OR Sun Lounge (SEASONAL):

Week 1: Mon Tue Wed Thurs Fri Sat Week 2: Mon Tue Wed Thurs Fri Sat

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Medication(s):

Please note: There is an additional charge of $4.00 per day to administer oral medications/supplements. An additional charge also applies to administration of SQ fluids, insulin and oral medications.

HAS YOUR PET HAD MEDICATION(S) TODAY? Yes χ No χ

Name of Medication(s)* Quantity # of times per day

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*do your instructions differ from what the prescription label reads?

Feeding: ________CUPS _________per day (1 Cup=8 Ounces) χ Breakfast χ Dinner

Did you bring your own food? Yes χ No χ If yes, what kind? ____________________

If applicable would you prefer to have your pets kenneled together? Yes χ No χ

If yes, the client understands and assumes all responsibility for the possible risks associated with multiple animals that are boarded in the same kennel. Initials: _____

Additional Belongings Brought Along:

____________________________________________________________________________________________

Emergency Contact: (required) STAFF INITIALS: _____________

Primary Phone Number(s):_______________________________________________________

If we are unable to contact you, is there someone else who we can contact? Yes χ No χ

If yes, what is their name and number(s): ____________________________________________

Alternate contacts MUST be able to make medical decisions.

On occasion a pet may become ill with minor conditions while boarding. The most common ailments are diarrhea, vomiting and lack of appetite. We will do our best to contact you at the numbers provided above. If we are unable to reach you, we will examine and treat the condition as needed for the health and comfort of your pet.

--Additional costs will apply—Initials:_______

If a serious medical emergency arises while your pet is boarding with us we will do our best to contact you at the numbers provided above. In the event we cannot contact you, we will use our best judgment to decide what treatments would be appropriate which may include transfer to a 24-hour hospital for care.—Initials______ Limit?________

In some cases we may need to obtain medical records for your pet. If we are not your regular pet care provider please list the name of the veterinary facility where your pets receive care:

______________________________________________________________________________

In the unfortunate event of the death of your pet while boarding we will hold your pet until body care instructions are provided to us.

PLEASE NOTE-WE DO NOT OFFER AFTER HOURS PICKUP OF PETS. WE DO OFFER SUNDAY PICK UP BETWEEN THE HOURS OF 3:00 AND 6:30 PM ONLY. YOU MUST HAVE PRIOR ARRANGEMENTS TO PICK UP YOUR PET(S) ON SUNDAY. PAYMENT MUST BE ARRANGED IN ADVANCE, THERE ARE NO EXCEPTIONS TO THIS POLICY. We do charge a Sunday Pickup charge.

I understand the above policy and understand that my pet(s) will not be released on a Sunday unless I arranged a pick up in advance and have pre-paid. Initials: _____

Boarding Hours: Monday, Wednesday, Friday 8:00 am - 4:30 pm

Tuesday and Thursday 8:00 am - 6:00 pm

Saturday 8:00 am – 11:00 am

Sunday (Pick up only) 3:00 pm – 6:30 pm

For the protection of all boarders, we require current vaccinations for DHPP in dogs and FVCRP in cats. Rabies vaccines need to be current according to local laws. Bordetella vaccine (kennel cough) is required every six months. If you have not brought verification, or we cannot confirm vaccine status, we will vaccinate your pet. Gunbarrel Veterinary Hospital is not responsible for lost or destroyed toys, blankets or beds

Signature of Owner: _______________________________ Date _______________________

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