Boarding Consent Form

*Any vaccines not current must be given upon arrival for boarding*

Required vaccines (DA2PP, Rabies, Bordatella, Negative Fecal for Dogs; FVRCP, Rabies for Cats)

Name

Address

Pet's Name

Species

Breed

Color

Sharing a space with another pet?

Yes No

If so, who?

Did you bring your own food?

YES NO

If yes, quanity/day

When last ate?

Medications Required?

YES NO

If yes, medications and instructions

When last given?

*There will be an additional fee of $1.60/day for administering oral or topical medication and $8/day for injections*

Would you like your pet to receive a bath, ear cleaning and nail trim for $45.89?

YES NO

After 7 nights of boarding your pet will receive a complimentary bath (dogs only) – nail trims excluded

YES NO

If your pet seem anxious, can we prescribe anxiety meds?

Yes No, call 1st

Would you like us to call you if we notice a NON-emergency medical condition?

YES NO

If no, you approve treatment for minor urgent conditions, such as diarrhea, limping or wounds up to

$50 $100 $ ____prior to contacting Treat regardless of expense Call 1st

Contact Person and Phone Number

Someone other than me has permission to pick up my pet

YES NO

If yes, Name and Phone Number

*We close Wednesdays from 12-2 pm*

*Sunday pickup 5-5:30pm*

Pick up date and time

AM PM

If parasites are found on your pet during the stay, they will be treated as deemed appropriate by the veterinarian and the cost of the treatment will be added to the total bill.

Our mission is to provide quality care while maintaining an inviting, family-oriented atmosphere where great customer service is apparent.

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Address

5095 S. Providence Road Columbia, Missouri 65203

Contact Us

staff@rockbridgeanimal.com

Phone:

(573) 443-4501

Text:

(573) 577-3541