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beaches@vca.com
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Beaches Animal Hospital Boarding Admission Form
Instructions
Name
*
Pet's Name
*
Emergency Contact Name
*
Emergency Contact Phone
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Emergency Contact Email
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Drop Off Date
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Drop Off Time
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Pick Up Date
Pick Up Time
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Are you bringing your own food?
Yes
No
If yes, how much food is to be fed and how often?
Allergies?
Yes
No
Is your pet on any medications?
Yes
No
What type of allergies, illnesses, or medications. Please add prescribing info.
Other Services During Stay
Complimentary Nail Trim
Daily Fees
Dog $40.00
Additional Dog $38.50
Cat $20.00
Additional Cat $18.50
Exotics $20
Medication $5 extra a day
Health Check: Please let us know if you have any concerns or have noticed any changes (such as scratching, vomiting, diarrhea, changes in energy, appetite, drinking, urination, any coughing or sneezing)
All animals entering the hospital must be up to date on vaccines and free of external parasites. If vaccines or flea treatment are needed, they should be done at least one week prior to boarding. If vaccines are not done in advance, they will be given upon admission and I am aware that my pet may not be fully protected in this case. I authorize Beaches Animal Hospital to do whatever is necessary in the event of an emergency. I understand that any vaccines, flea treatment and emergency care are my financial responsibility. If sedation is needed for safe handling of my pet, I authorize Beaches Animal Hospital to administer such medications. I understand that my pet will unsupervised from 11:00pm to 7:00am. I understand that Beaches Animal Hospital is not responsible for any misplaced personal belongings. If I do not pick my pet up on the scheduled date, I will contact Beaches Animal Hospital to inform them of the extended stay. If I do not contact them, my pet may be considered abandoned and dealt with appropriately thereafter. I have read and fully understand the above form, please initial below.
Initials
*
Date
*
Digital Signature
*
Initials - I have read and agree
*
PLEASE READ CAREFULLY: All animals entering the hospital must be up to date on vaccines and free of external parasites. If vaccines or flea treatment are needed, they should be done at least one week prior to boarding. If vaccines are not done in advance, they will be given upon admission and I am aware that my pet may not be fully protected in this case. I authorize Beaches Animal Hospital to do whatever is necessary in the event of an emergency. I understand that any vaccines, flea treatment and emergency care are my financial responsibility. If sedation is needed for safe handling of my pet, I authorize Beaches Animal Hospital to administer such medications. I understand that my pet will unsupervised from 11:00pm to 7:00am. I understand that Beaches Animal Hospital is not responsible for any misplaced personal belongings. If I do not pick my pet up on the scheduled date, I will contact Beaches Animal Hospital ASAP. If I do not contact them, my pet may be considered abandoned and dealt with appropriately thereafter. I have read and fully understand the above form.
Verification
Please enter any two digits
*
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