Boarding Consent Form

Please select an emergency contact that will not be traveling with you and you approve to make any decisions for your pets which could incur additional charges on your stay.

Emergency Contact Name *

Emergency Contact Name

First

Last

Emergency Contact Phone *

In the event of an unforeseen incident or medical issue, we will attempt to reach you without delay. Please know that we will take every precaution to ensure that your pet is safe and healthy during their stay. Occasionally, there is a need for your pet to be examined and treated. As a veterinary hospital, we have taken an oath to treat animals who may be sick, injured, or in pain. In the event you cannot be reached, we will provide sufficient care to keep your pet comfortable until we can speak with you. You accept responsibility for any cost incurred, including the physical exam fee and any medications necessary. Very rarely, emergencies do happen and we want to know your preference if no one can be reached.

Please select your emergency preference *

Please proceed with life-saving measures. I accept responsibility for all costs incurred.

Please do not proceed with life-saving measures. I accept responsibility for any outcome/costs

Required Vaccinations for Dogs

Rabies
Distemper/parvo
Bordetella

Required Vaccinations for Cats

Rabies
FVRCP

Vaccination Records *

Maximum file size: 52.43MB

Please upload your pet's vaccine records showing the last vaccinated dates

Vaccine Update

If my pets vaccinations will expire during our stay I approve for them to receive them at regular cost.

Medications

Name *

Dose *

Frequency *

Last Given *

Quantity Dropped Off *

ADD A MEDICATION REMOVE A MEDICATION

Regular Food

Brand *

Amount *

Frequency of Feeding *

Last Fed *

ADD FOOD REMOVE FOOD

Diet Consent *

I understand that sudden diet changes can cause upset GI systems to my pet and I approve my pet to be given medication if this occurs.

Does your pet have allergies? *

Yes

Do you have any medical concerns regarding your pet?

Yes

Please describe *

Please give a specific description of any personal items being left with your pet for their stay (we provide bowls, blankets etc unless you specify otherwise to prevent foreign bodies) *

Theft Consent *

I understand Embassy is not responsible for any property left.

Is your pet currently experiencing any abnormalities?

Eating

Drinking

Vomiting

Diarrhea

Coughing

Sneezing

Urination

Limping

OtherOther

Please check any additional amenities you would like to request

Bath

Ear Cleaning

Anal Gland Expression

Daycare

Enrichments (Please list enrichments)Enrichments (Please list enrichments)

Because Your Pet is Staying with Us Please Check Any That Apply:

This pet is up to date on vaccines and I have provided copies to Embassy Veterinary Center. (Canine:Rabies, Distemper, Bordetella; Feline: Rabies, FVRCP)

This pet has never bitten anyone or been in a situation where they were uncomfortable around people

This pet has never bitten another pet AND gets along with all pets.

This pet does not chew on bedding.

I approve for this pet to be scanned for a microchip if needed.

Personal Items Consent *

I understand that Embassy Veterinary Center is not responsible for lost or destroyed personal items I bring for my pet (bowls, bedding etc).

Responsible Party Signature *