TotalBond Davidson - Express Boarding Check In

1

Thank you for using our Express Check-In process. If your boarding pet(s) will require medication administration or an exam for any reason while boarding, please know that a Veterinary Technician will need to spend a few moments with you at time of drop-off. Please plan accordingly.

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2

First Name

Last Name

Phone number where you can be reached while your pet stays with us

Can you receive text messages?

Secondary phone number

Email address

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3

Pet name

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4

Please confirm boarding dates* This field is required(Note: We do not offer Sunday drop-off or pick-up times)

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5

Select any additional services you would like performed while your pet is boarding

What will your pet be eating while they stay with us?

How often will your pet need to be fed while boarding?

List any food allergies

How much does your pet eat each meal?

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6

If these services were not previously scheduled, add-on baths and nail trims will be based on availability at time of drop-off.

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7

Will your pet require any medications to be given while boarding? If so, please list below. *All medications will need to be brought to the hospital in the original prescription bottle with clear, legible instructions. Please be sure to provide enough medication to last the duration of their boarding stay.

Name of medication

Dosing Instructions

Name of medication

Dosing Instructions

Any health concerns or special requests that weneed to be aware of?

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8

All pets are taken outside multiple times daily. Boarding pets are taken out individually, or with family members only.

Please choose off-leash permission

In the event of an emergency while your pet is in our care, how would you like for us to proceed?

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9

Add another pet

YESNO

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10

Second pet name

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11

Please confirm boarding dates* This field is required(Note: We do not offer Sunday drop-off or pick-up times)

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Enter

12

Select any additional services you would like performed while your pet is boarding

What will your pet be eating while they stay with us?

How often will your pet need to be fed while boarding?

List any food allergies

Press
Enter

13

If these services were not previously scheduled, add-on baths and nail trims will be based on availability at time of drop-off.

Press
Enter

14

Will your pet require any medications to be given while boarding? If so, please list below. *All medications will need to be brought to the hospital in the original prescription bottle with clear, legible instructions. Please be sure to provide enough medication to last the duration of their boarding stay.

Name of medication

Dosing Instructions

Name of medication

Dosing Instructions

Any health concerns or special requests that weneed to be aware of?

Press
Enter

15

All pets are taken outside at least 4 times daily. Boarding pets are taken out individually, or with family members only.

Please choose off-leash permission

In the event of an emergency while your pet is in our care, how would you like for us to proceed?

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Enter

16

Add another pet

YESNO

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Enter

17

Third pet name

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Enter

18

Please confirm boarding dates* This field is required(Note: We do not offer Sunday drop-off or pick-up times)

Press
Enter

19

Select any additional services you would like performed while your pet is boarding

What will your pet be eating while they stay with us?

How often will your pet need to be fed while boarding?

List any food allergies

Press
Enter

20

If these services were not previously scheduled, add-on baths and nail trims will be based on availability at time of drop-off.

Press
Enter

21

Will your pet require any medications to be given while boarding? If so, please list below. *All medications will need to be brought to the hospital in the original prescription bottle with clear, legible instructions. Please be sure to provide enough medication to last the duration of their boarding stay.

Name of medication

Dosing Instructions

Name of medication

Dosing Instructions

Any health concerns or special requests that weneed to be aware of?

Press
Enter

22

All pets are taken outside at least 4 times daily. Boarding pets are taken out individually, or with family members only.

Please choose off-leash permission

In the event of an emergency while your pet is in our care, how would you like for us to proceed?

Press
Enter

23

Add another pet

YESNO

Press
Enter

24

Fourth pet name

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Enter

25

Please confirm boarding dates* This field is required(Note: We do not offer Sunday drop-off or pick-up times)

Press
Enter

26

Select any additional services you would like performed while your pet is boarding

What will your pet be eating while they stay with us?

How often will your pet need to be fed while boarding?

List any food allergies

Press
Enter

27

If these services were not previously scheduled, add-on baths and nail trims will be based on availability at time of drop-off.

Press
Enter

28

Will your pet require any medications to be given while boarding? If so, please list below. *All medications will need to be brought to the hospital in the original prescription bottle with clear, legible instructions. Please be sure to provide enough medication to last the duration of their boarding stay.

Name of medication

Dosing Instructions

Name of medication

Dosing Instructions

Any health concerns or special requests that weneed to be aware of?

Press
Enter

29

All pets are taken outside at least 4 times daily. Boarding pets are taken out individually, or with family members only.

Please choose off-leash permission

In the event of an emergency while your pet is in our care, how would you like for us to proceed?

Press
Enter

30

Add another pet

YESNO

Press
Enter

31

By signing below, I am authorizing the staff of TotalBond Veterinary Hospital to care for my pet while he/she boards in their facility. I accept financial responsibility and understand that payment in full is due upon release of my pet from the hospital. I am acknowledging that my pet is up to date on required vaccines and have received negative results on a current fecal test. If fleas and/or ticks are observed while boarding, preventatives will be administered, and a charge will be assessed. I am also acknowledging that any belongings that are lost or damaged while my pet boards is not the responsibility of TotalBond Veterinary Hospitals.

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32

Signature(NOTE - we are going to be printing this information out after the clients fills it out online. We would rather they be able to sign the form at the time of drop off instead of online.)

Clear

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33

Date

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