Boarding Release Form

Standard boarding services:

  1. Room cleaning twice daily or as needed during your pet's stay.
  2. Hill's Science Diet Sensitive Stomach and fresh water are provided at no additional cost to you.
  3. Outdoor playtime and leash walking three times daily ( weather permitting )for dogs at no additional cost to you.
  4. Daily routine medications will be administered per your request at no additional cost to you. Given the amount you provide is adequate for the length of your pet's stay.

Note - as we have an abundance of bedding, blankets, and toys. Please don't bring them with you as those items might be in the laundry when you pick up your pet and there are no guarantees that we will be able to efficiently find them and return them upon Checkout. Also we would prefer that you do not leave leashes and collars for similar reasons. Unless medical conditions exist where your pet is only to be walked on a harness or other situations that are medically necessary for them to be left with us.

Account holders name here at West End Animal Hospital *
Account holders name here at West End Animal Hospital
Check-in Date *
Check-in Date
Check-out Date *
Check-out Date
Where would you like your pet to stay while with us
Additional Services *
Pleas select any additional services you would like your pet to receive. ( Select all that apply ).
Included in the boarding rates Fresh water Provided and "Hills Science Diet Sensitive Stomach" are provided. If you have your pet on a special diet please list the feeding instructions here and remember to bring enough for for the length of your pets stay.
Please List: ( Medication / Suplement name ) - Followed by dosage and interval as well as any other specifics
In the unlikely event you pet experiences a medical emergency during their stay ( We will always try to contact you first ) However if multiple attempts to contact you fail. Please indicate a dollar amount we are in no way to exceed to stabilize and or treat your pet. ( Above the pre-determined boarding fees)
$
Acknowledgement of terms and conditions to board your pet at West End Animal Hospital *
All pets must have been examined by one of our doctors within the last 365 days. Due to the zoonotic risk of infecting other animals all boarding pets must have had a negative fecal parasite test within the last 90 days and be current on their vaccinations upon boarding. If proof of vaccination within the last 12 months cannot be provided we will administer the vaccinations upon check in at our regular rate.
Canine Influenza Virus Vaccine *
Beyond the core vaccinations. As of October 2011, We require all dogs to be vaccinated against the Canine Influenza Virus to board in our facility.
Flea Control *
All pets will be checked for fleas upon admission and be treated as needed to prevent infesting other patients in the practice ( Additional fees apply by the pets weight ) Side note - if your pets stay is going to overlap its monthly Flea / Heart-worm Prevention administration date feel free to include it on the medication list and bring it with you and we would be happy to administer it for you at no charge.
By Typing my full name in the box below I am declaring that I am the owner / agent for the pet listed above and can make medical and financial decision for said pet. I understand that all invoices are due and payable upon Check-out.