Boarding Release / Authorization Client Name(Required) First Last Pet(s) Name(Required) Add RemovePhone(Required)Emergency Phone Number(s)(Required) Add RemoveWe appreciate that you have entrusted the care of your pet to us during your absence. To ensure the safest environment for all pets being boarded at our hospital we have set the following guidelines: Dogs must be current on vaccinations for Rabies, Distemper, Bordetella, as well as a negative Heartworm test and fecal test. Cats must be current on vaccinations for Rabies, Distemper, Feline Leukemia vaccine (where appropriate) as wells as a negative FeLV/FIV test and fecal test. If services listed above are performed by CAH at the time of boarding, an examination fee will be charged in addition to a fee for each of the service(s) provided. Pets found with internal or external parasites will be treated at the owner’s expense. All pets will be given a Capstar to keep a flea problem from arising in the hospital. If a sedative is necessary for treatment or handling, CAH has my permission to administer such medication. If your animal requires a special diet, please bring an adequate supply on the day of drop off. Personal items may be left at your own risk. We are not responsible for loss or damage. Please have items labeled. Boarding is charged each night stayed per pet.Should problems arise in your absence every attempt will be made to reach you. We will perform any necessary treatment to ensure your pet’s good health. A change in boarding status may need to occur based on the veterinarian’s medical assessment (i.e. to a level of medical boarding or hospitalization). This would necessitate additional costs for medical treatment/care.(Required)(please initial)I release CAH of all liability should my pet’s life be lost due to unforeseen situations, including fire and natural catastrophe.(Required)(please initial)I understand that if I neglect to call or pick-up my pet after fourteen (14) days of the stated discharge date, CAH will assume that I have abandoned my pet. I understand CAH will abide by standard legal steps for abandoned pets.(Required)(please initial)I understand that if refills are needed for medications or prescription foods prescribed to my pet(s) while he/she is boarding at CAH I will be responsible for charges incurred.(Required)(please initial)I understand that payment is required in full upon discharge of my pet.(Required)(please initial)I have read and fully understand Cornerstone Animal Hospital’s boarding policies.(Required)(please initial)Date(Required) MM slash DD slash YYYY Signature(Required)(This form expires 6 months from the date of original signature)
