COMPANION PET CARE CLINIC

BOARDING AGREEMENT

 
 
 
 
 
DATE ADMITTED: ______________
 
BOARDING UNTIL _____________ ESTIMATED PICK UP TIME_____________
 
WT:__________________     
 
ACCOMODATION RESERVED:_______________ 
 
PERSONNAL LUGGAGE: ______________________________________________
 
FOOD: ________________ NORMAL FEEDING SCHEDULE:_________________
 
EMERGENCY CONTACT NUMBER WHILE BOARDING____________________
 
NAME OF REGULAR VETERIANARIAN?_________________________________
 
No animals will be accepted or released outside of regular office hours.    There will be no exceptions. Please make note of our regular office hours.
 
Medications? (PLEASE NOTE THAT A $2.20 CHARGE PER DAY WILL BE ADDED FOR ADMINISTRING MEDICATIONS WHILE BOARDING):
 
                DRUG                                           DOSE                           FREQUENCY                         ROUTE
 
 
 
 
PLEASE MAKE CERTAIN ENOUGH MEDICATION HAS BEEN LEFT FOR THE ENTIRE TIME YOUR PET HAS BEEN BOARDED. IF YOU ARE NOT A REGULAR CLIENT OF COMPANION PET CARE CLINIC, WE MAY NOT LEGALLY PRESCRIBE MEDICATIONS FOR YOUR PET.
 
FOR YOUR PETS PROTECTION, ALL VACCINES MUST BE CURRENT. BORDETELLA, A SPECIFIC KENNEL COUGH VACCINE, IS ALSO REQUIRED. YOUR PET MUST BE FREE OF INTERNAL AND EXTERNAL PARASITES. IF NOT, TREATMENT WILL BE DONE AT YOUR EXPENSE. THE KENNEL IS NOT RESPONSIBLE FOR ANY PERSONAL BELONGINGS LEFT WITH YOUR PET. IN CASE OF EMERGENCY, YOUR PET WILL BE TREATED AT YOUR EXPENSE. PAYMENT FOR SERVICES IS DUE AT THE TIME RENDERED. ACCOUNTS REMAINING UNPAID WILL INCUR INTEREST AT THE RATE OF 18% PER ANNUM PLUS $5.00 PER MONTH BILLING FEE. IF THE ACCOUNT BECOMES DELINQUENT, THE UNDERSIGNED AGREES TO ASSUME ALL COSTS AND EXPENSES RELATED TO COLLECTION OF PAYMENT, INCLUDING COURT COSTS AND/OR ATTORNEYS FEES. THERE WILL BE A FEE OF $50.00 ON ALL RETURNED CHECKS. ANY CHECK RETURNED TO US FOR INSUFFICIENT FUNDS WILL BE ELECTRONICALLY WITHDRAWN FOR THE AMOUNT OF THE CHECK PLUS THE NSF CHECK FEE OF $50.00. I AM THE LEGAL OWNER OR GUARDIAN OF THE ABOVE PATIENT. I HAVE READ, UNDERSTAND, AND ACCEPT ALL POLICIES STATED ABOVE.
 
WHEN YOUR PET RETURNS HOME, PLEASE DO NOT LET HIM/HER EAT OR DRINK EXCESSIVELY. THIS IS A COMMON MISTAKE AND OFTEN CAUSES VOMITING AND DIARRHEA. WAIT AT LEAST ONE HOUR BEFORE GIVING A SMALL PORTION OF FOOD OR WATER. PLEASE CALL IF YOU HAVE ANY QUESTIONS.
 
THANK YOU.
 
 
SIGNATURE: _______________________________________________ DATE: _____________________________
 
STAFF WITNESS: __________________________________________ DATE: ______________________________