Boarding or Hospitalization (Small Animal) Consent Form

Prior to acceptance for boarding or hospitalization, answers to the following questions are important to ensure the safety of your animal and appropriate services are rendered.

  • Please provide a number we can reach you at in the event of an emergency.
    Please note any known medical issues your animal may have in addition to the reason your animal is staying with us.
    Though your animal may not be staying for a medical or surgical procedure, it is still important for us to know if there are any known medication issues or allergies.
    Please disclose any behaviors we should know about, those that are particularly dangerous to themselves or humans. This important for the safety of your animal.
    If your animal is on medication, and should remain so while with us, please list ALL types and when last given.
    Please select all that apply.
  • Please list here your preferred food choices. We will do the best too accommodate. If we cannot do so, we will notify you as soon as possible. Please send along special feed that may not be readily available to us.
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  • Please note here if you have any comments or special requests.
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  • Sign with finger if mobile phone or tablet, drag mouse if PC or Mac.
  • This field is for validation purposes and should be left unchanged.