Boarding Form Boarding Form Your InformationOwner's Full Name(Required) First Owner's Phone Number(Required)Owner's Email Address(Required) Urgent Care or Illness Authorization: Owner is acknowledging there are no veterinary medical team members in the hospital overnight or after hours. In the event of an emergency or urgent care/illness with your pet, Turkey Creek Animal Hospital will make every effort to contact you. Urgent Care Contact Preference(Required)In the event of an acute illness or urgent care situation with your pet, when would you like to be contacted? Please do not call me unless it is an emergency. I can be updated on my pet’s condition at the time of pick up. Please treat my pet according to my preferences list below, then contact me at your earliest convenience with an update on my pet’s condition. Do not treat my pet without calling me to discuss my pet’s condition and treatments needed. Please indicate how you would like to be contacted by circling one of the following options.(Required) Phone Call Text Email If you pet develops acute vomiting, acute diarrhea, inappetence, skin issues, etc that are not emergent issues. Please indicate below how you would like us to handle your pet’s care. If you cannot be reached, please indicate your preference below:(Required) DO NOT perform any treatment until I am reachable. I understand this may impact my pet’s outcome. Allow the attending veterinarian to provide symptom care use their discretion to provide the necessary care up to stated amount below. Provide all necessary tests and treatments at the discretion of the attending veterinarian up to stated amount below. Please indicate the maximum cost of treatment you are able to pay in the event of an illness or urgent care situation and can not be contacted for authorization. If you selected the "DO NOT perform" option above, please write N/A.(Required)Emergency Contact Name(Required)Emergency Contact Phone Number(Required)Pet's Name(Required)Pet's Species(Required) Dog Cat Pet's Breed(Required)Pet's Age or DOB(Required)Pet's Weight (in lbs)(Required)Is your pet spayed/neutered?(Required) Yes No Has your pet been vaccinated for all required vaccinations? Proof of vaccines much be provided 48 hours before drop-off or your pet may be declined for boarding. Vaccine requirements: Dogs need Rabies and DHLPP given within the past 12 months, and a Bordetella vaccine given within the past 6 months. Cats need Rabies and FVRCP given within the past 12 months.(Required) Yes No Please list any known allergies or medical conditions.Is your pet on flea and heartworm prevention?(Required) Yes No If yes, please indicate which products they are taking.(Required)Is your pet taking any medication? If you pet takes daily medication, there will be an additional fee.(Required) Yes No If yes, please describe the medication, dosage, and administration instructions. Please list name of prevention your pet is currently taking and when the last dose was given.(Required)How would you describe your pet's temperament around other animals?(Required) Very friendly Friendly but sometimes shy Neutral Reserved/Prefers solitude Aggressive How would you describe your pet's temperament around people?(Required) Very friendly Friendly but sometimes shy Neutral Reserved/Prefers solitude Aggressive What is your pet's feeding schedule? how many’s cup, or how much fed(Required)What type of food does your pet eat?(Required)Please provide any additional instructions or information about your pet's care.(Required)Preferred drop-off date(Required) MM slash DD slash YYYY Preferred pick-up date(Required) MM slash DD slash YYYY How did you hear about us?Friend/FamilyOnline SearchSocial MediaVeterinarianLocal AdvertisementOtherAcknowledgementBy entering your name in the space provided below, you hereby affirm that you have thoroughly reviewed and fully comprehend the entirety of the preceding information. Δ
