Boarding & Hospitalization Agreement

Agreement for boarding or a hospital stay

01

Client & patient

02

The stay

03

Vaccinations & parasite control

Proof provided

If proof of required vaccines is not provided, or if fleas or other parasites are found, I authorize the practice to vaccinate or treat my pet and add the cost to my bill.

04

If my pet needs medical care

If my pet becomes ill or injured during the stay, I authorize the veterinarians of this practice to examine and treat my pet as they judge necessary, and to spend up to the amount below without reaching me. Above that amount they will keep trying to reach me or my backup contact.

05

Pick-up & terms

Please initial each statement
  1. I understand group play and boarding carry some risk of minor injury and illness, including kennel cough, even in vaccinated pets.
  2. I agree to pay all boarding, medical, and other charges at pick-up.
Owner / authorized agent signature
Staff member signature