Creekside - Lodging Consent Form

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Boarding Agreement

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One of the advantages of boarding your pet(s) at our hospital is that veterinary care is readily available and can be administered should the need arise. Please indicate your wishes below should your pet require treatment to relieve immediate discomfort or to resolve a critical medical condition. Please know that emergencies will be treated regardless.* This field is required.(No phone call is needed if medical expenses are within this limit)

I authorize up to ( click to select )

Do not give medical treatment until I have been contacted.

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$50

$100

$200

Other

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The following agreements must be initialed* This field is required.I fully understand that if my pet is not current on the required vaccinations or I cannot provide verification of said vaccinations, I authorize Creekside Animal Hospital to provide these vaccinations for my pet(s) at my expense.

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The following agreements must be initialed* This field is required.I fully understand that my pet(s) will be treated for flea infestations or intestinal parasites at my expense if deemed necessary during boarding.

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The following agreements must be initialed* This field is required.I fully understand that my pet(s) will be given a clean-up bath at my expense if deemed necessary during boarding.

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The following agreements must be initialed* This field is required.I fully understand that if my pet(s) requires medication to be administered while boarding I will be charged a daily administration fee of $3.00. Further more, I am aware that all medications must be brought in their original containers.

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The following agreements must be initialed* This field is required.I fully understand that Creekside Animal Hospital is not responsible for any items (blankets, toys, bedding, etc.) that may be damaged or left here.

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The following agreements must be initialed* This field is required.I fully intend to pick up my pet(s) on the date of dismissal per my reservation. If circumstances change I will notify the hospital prior to end of the business day.

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The following agreements must be initialed* This field is required.I fully understand that this agreement will be permanent and pertain to all future boarding stays for my pet(s).Further more, I am aware that I have the availability to update this agreement at any visit should I so choose.

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Signature of Owner or Agent of Pet(s)* This field is required.

Clear

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Date* This field is required.

Date

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*All pets entering the hospital for boarding must be current on vaccinations and be free of intestinal parasites (worms) and external parasites (fleas and ticks).

DOGS: DHPP, Rabies, Bordetella (Kennel Cough), & Intestinal Parasite Screen (with a negative result within the last 6 months). CATS: FVRCP, Rabies, & Intestinal Parasite Screen (with a negative result within the last 6 months).