Feline Boarding / Consent to Treat Form

Name

First Last

Pet's Name

First

Breed

Age

Release Date

Sex

Male
Female

Alert Information

Arrival Date

Release Date

Additional services needed while boarding

Bath

Yes
No

Date of bath

Nail Trim

Yes
No

Please select which vaccines are current

Rabies w/ Exam
FVRCP
FELV
FELV / FIV Screening
Fecal

Medication to be given? (There will be a $1.95 fee for each time a medication is given while boarding.)

Yes
No

Medication / Freq / Amt / AM / PM (Please follow this order)

Feed: (Dry)

Free Feed
1/4 cup
1/2 cup
3/4 cup
1 cup
Once a Day
Twice a Day
Own Food
Clinic Food

Feed: (Canned)

1/4 cup
1/2 cup
3/4 cup
1 cup
Once a Day
Twice a Day
Own Food
Clinic Food

Has your cat eaten today?

Yes
No

If Yes, when?

Supplies to be left with your pet:

Supplies (Other)

Contact

Alternative Contact

Date

Requirements for boarding
1. All animals must be current on all vaccinations. 2. All animals must be free of external parasites (ex. ticks, fleas, etc.), or they will be treated at owner's expense. 3. Tender paws Animal Hospital has my permission to do whatever is necessary should an emergency arise. 4. If a tranquilizer is necessary for treatment or handling, Tender paws Animal Hospital has my permission to administer such medication. You are to use all reasonable precaution against injury, escape or death of my pet. The clinic and staff will NOT be held liable for any problems that develop provided reasonable care and precaution are followed. I understand that any problem that develops with my pet while I am absent will be treated as deemed best by the staff veterinarians and I ASSUME FULL RESPONSIBILITY for the treatment expense involved. If I neglect to pick up my pet within five days of the release date above and do not notify you within that time frame, you may assume that the pet is abandoned and are hereby authorized to dispose of the pet as you deem necessary.

By agreeing below I acknowledge that I have read and understand the boarding requirements and the hospital's policies.

*

I agree with the above terms

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