Boarding Form - Turkey Creek Animal Hospital

Your Information

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Your Pet's Information

Pet's Name(Required)

Breed(Required)

Color(Required)

Birthdate(Required)

Age(Required)

Sex(Required)

Spayed/Neutered?(Required)

Emergency Contact

Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Alt Phone(Required)

Veterinary Information

Primary Veterinarian(Required)

Clinic Name(Required)

Phone(Required)

Health & Behavior Details

Does your pet have any medical conditions, allergies, or medications? If yes, please explain(Required)

List any and all medications and supplements (including doses)(Required)

Is your pet on flea/tick prevention? If yes, please list the product name and date of the last dose below. If no, please write no.(Required)

Does your pet have any sensitive areas on their body? If yes, please specify below; otherwise, type no as your response.(Required)

Has your pet been professionally groomed?(Required)

Yes

If yes, describe their reaction:

Has your pet displayed any of the following behaviors? (Check all that apply):(Required)

Food/toy aggression

Fear of strangers

Escape attempts (e.g., jumping fences, digging holes)

Separation anxiety

Fear of loud noises

Leash reactivity

Aggression toward other animals

Other (explain below)

None of the above

Other

Has your pet ever bitten a person or another animal?(Required)

Yes (Please explain below)

Explain:

Feeding Instructions

Type of food(Required)

Brand(Required)

Feeding Schedule (times per day)(Required)

Portion Size(Required)

Does your pet have any food allergies or restrictions?(Required)

Is your pet allowed treats? If yes, please specify.(Required)

Personal Belongings

Please list any items (e.g., toys, blankets) you will leave with your pet:

Vaccination Records:

All pets must be up-to-date on the following vaccinations ( owner must provide proof before boarding):
-Dogs: Rabies, DHLPP, Bordetella (required every 1 year), Influenza (recommended yearly)
-Cats: Rabies, FVRCP
-Additional Tests: Negative fecal exam within the last 6 months

Vaccine Records Upload (optional)

Max. file size: 128 MB.

Emergency Care Authorization: In the event of a medical emergency, Turkey Creek Animal Hospital will make every effort to contact you. If you cannot be reached, please indicate your preference below:

Perform all necessary lifesaving procedures but delay further treatment until I am contacted

Allow the attending veterinarian to use their discretion to provide necessary care. (Add financial limitation below)

DO NOT perform any treatment until I am contacted. (May impact pet’s outcome).

Financial limitation:

Signature(Required)

Owner Acknowledgment and Liability Release: I certify that my pet is in good health and has not shown aggression toward people or other animals. I understand that Turkey Creek Animal Hospital will exercise reasonable care during my pet’s stay, but cannot be held responsible for unforeseen incidents or illnesses. I understand that if external parasites (fleas or ticks) are found on my pet, they will be treated with a single dose of prevention, and I will be responsible for the cost. I agree to pay all fees upon pickup, including costs for additional treatments if necessary.

Date(Required)