Boarding Consent Form

Name: Veterinarian
Brand: Valley West Veterinary Hospital

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Reservation Dates:

All cats and dogs must be current on all vaccinations including Bordetella for boarding admission. Please note that we require your animal to be vaccinated for kennel cough at least once a year. If your animal is not current on the Bordetella vaccine at least 7 days prior to entering the kennel for boarding and receives the vaccination when entering for boarding, they may still contract kennel cough. You will be responsible for any medical treatment that may be required as a result of this.

All dogs boarded for 5 nights or more will receive a complimentary bath!!

Pet Name

Toys, blankets, and beds are welcome, however Valley West Veterinary Hospital does not assume responsibility for lost or damaged belongings. Please list items here:

Is it ok for your pet to have a clinic blanket in their run/cage? If so, we are not responsible for any medical expenses due to destruction:

Please list any medications that your animal is currently taking:

Are you providing your pets own food? If yes, please provide feeding instructions:

What additional services can we offer you while your pet is with us?

Does your pet have any life long illnesses that we should be aware of such as diabetes, cushings, etc.?

In the event that I cannot be reached, I authorize the doctors and staff of Valley West Veterinary Hospital to de what is necessary in the event of an iliness or emergency situation. I understand that I will be responsible for any charges incurred.

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Your Name

E-mail Address

Phone Number where Owner can be reached:

Do we have permission to text you / send pictures: Valley West /Elk Valley Veterinary Hospital will not be responsible for any charges you may receive as part of your personal telephone plan.

Yes

Boarding Consent Form

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