The Pet Hospitals-Boarding Form

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If you followed our link from our website please make sure your pet has a reservation already by calling 901-861-0370.

Client's full name

Please note your pet must have an existing reservation. Simply filling out this form does not guarantee your pet's spot.

Pet's Name (one pet per form)

If this changes please give us a call and let us know. 901-861-0370

Drop off Date

If you are filling this form out on the day you are dropping off, it may not reach your pet's chart until later in the day.

Pick Up Date

Estimated time of day for pick up

If this changes please let us know 901-861-0370

Would you like your pet to have a bath on the day of pickup?

YesNodogs only please

Estimated pick up time if your pet is getting a bath

If he/she boards 5 nights or more a bath is complimentary
When your pet boards 3 nights he/she can have the option of a discounted bath
Pet's receiving baths must be checked out later in the day due to drying & brush out times

We provide bedding for boarding pets so we ask that you please not bring your pet's bedding.

I have read the above statement

To ensure the safety of our staff, has your pet ever shown aggression to a person or another animal?

YesNo

Your name and phone number

Primary Emergency Contact Name

Phone Number

Has your pet been treated for anything medical in the last 30 days? If yes please explain below.

Treatment Authorization In the unlikely event that a problem requiring immediate medical attention is detected with my pet while boarding, I authorize the doctors at The Pet Hospitals to perform the necessary diagnostics and treatments. I understand such services may involve additional fees and I agree to be responsible for such.

I have read and understand the above statement

We require current vaccinations for all boarding pets for their safety and the safety of other pets. Please provide a copy of your pet(s) vaccine records if we do not give their vaccines here.

I have read and understand the above statement

We require all day care and boarding pets to be current on heartworm, tick, and flea control with prescription strength medications and will need to verify that prior to or upon check in. If not adequately protected we will need to administer an effective medication for protection and add that to your invoice. Is your pet up to date on their heartworm & flea control?

YesNo

Please list the name of the topical flea prevention

Does your pet have any medical services scheduled during their stay?

YesNo

What are they having done?

I grant THE PET HOSPITALS to its representatives and employees the right to take photographs of me and/or my pet, and use and publish the photos in print and/or electronically. I agree that THE PET HOSPITALS may use such photographs of me and or/my pet with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, social media and other web content. Edit this text

The above MAY take photos of me and/or my petThe above may NOT take photos of me and/or my pet

Are there any current or prior health conditions with your pet? If so, please explain below.

Your Phone Number

Diet & Feeding instructions

Please check the one below that applies

Clinic FoodOwn Food

If your pet runs out of his/her food, can we feed our food?

YesNo

Food must be labeled and in individual zip lock packs per meal, please list the name of your pet's food below

How often does your pet eat?

Once daily feedingTwice daily feeding

If your pet is boarding with one of your other pets do we feed them separate?

YesNoDoes not apply

We provide beds for your pet during their stay and encourage you to let us use our bedding. Please list personal items you do decide to bring below:

When do we give your pet's first meal?

Medications

All medications must be in a prescription bottle

Will your pet require medication while boarding with us?

YesNo

(1) Name & Strength of Medication

(1) Instructions

(2) Name & Strength of Medication

(2) Instructions

(3) Name & Strength of Medication

(3) Instructions

(4) Name & Strength of Medication

(4)Instructions

(5) Name & Strength of Medication

(5) Instructions