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Updated Protocol for Appointments
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Boarding Consent Form
Client Name:
*
First
Last
Pet Name:
*
Emergency Contact Number:
*
Alternative Number:
Drop Off Date:
*
Date Format: MM slash DD slash YYYY
Pick Up Date:
*
Date Format: MM slash DD slash YYYY
Belongings:
*
Feeding Instructions (additional charges will apply for canned clinic food):
*
Own Food
Clinic Dry
Clinic Canned
Other feeding instructions:
List any medications, including directions and when to start:
*
Would you like any other services while your pet is here? (select all that apply)
Bath
Nail Trim
Anal Glands
Brush Out
Clean Ears
Deluxe Spa
Stay and Play Time (select all that you would like)
One-on-one time with a team member doing the activity your pet enjoys the most.(M-F Only)
Free Roam/Off Leash Play
Cuddle Time
Water Play
Your Pet's Personality (select all that apply)
My pet is nervous around strangers/other pets.
My pet will exhibit stress with chewing/diarrhea/urinary issues.
My pet becomes anxious with storms or loud noises/fireworks.
My pet is food aggressive.
My pet is aggressive toward strangers/other animals.
My pet needs to be walked more than twice daily.
Doctor/Technician Exams:
If your pet is being examined by the doctor during this stay, please briefly explain the reason for the exam (ie vaccine boosters, recheck, new illness):
Exam Authorization
While every attempt will be made to contact you after the exam, in case we are unable to reach you,do you authorize the veterinarian to begin treatment during your pets stay?
Yes
No
Should my pet become ill during his/her stay at HVC, I authorize the attending Veterinarian to treat at his/her discretion until I can be reached for further consent (please select one)
*
Yes
No
Flea/Tick Treatment Consent
*
I understand that my pet will be checked for fleas and ticks before being admitted for boarding. If either is found, my pet will be treated at the Veterinarian’s discretion and for an additional expense. *I assume financial responsibility for the services rendered and understand that full payment is due upon completion of services*
I understand
Your full name:
*
Δ
New Clients
What to Expect
Promotions
About
Our Team
Fear Free Certified
Our Photo Gallery
Careers
Services
Wellness
Diagnostic Testing
Surgery
Dentistry
Exotics
Resources
Pet Health Library
How-To Videos
Pet Health Checker
News
Pumpkin Pet Insurance
Online Forms
Payment Options
Online Pharmacy
Online Pharmacy
Promo Codes
Purina Vet Direct
Contact
Book An Appointment
Pet Records
Prescription Refill
Student Externship Program
Have a Question?
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