Star Meadow
Animal Clinic
1073
Revolutionizing Animal Care in the
Home Hours and Location Our Services Our Veterinarians Our Support Staff
The Essentials of Wellness Medicine A Picture Tour of Our Facility
Boarding
Consent
Owner’s Name________________________________________
Pet’s Name_________________________________________
Arrival
Date & Time__________________________________ Departure Date &
Time_______________________________
In order to safeguard the health of
all pets, we require that the vaccinations shown below and fecal exam be
current. We ask that all pets be on a
monthly flea preventative such
as Frontline, Revolution, etc. All pets will be checked upon arrival for
fleas, and will be treated at owner's expense if fleas are found.
Boarding pets are admitted and
discharged during the following hours: Monday, Tuesday, Thursday, Friday-
8:30am to 5:30pm, Wednesday- 8:30am to 12pm and 2pm to
5:30pm, and Saturday- 8am to
12:30pm. We do not admit or discharge
pets on Sunday.
Emergency Instructions:
Should your pet experience a medical
problem while boarding, a veterinarian will make every effort to contact you
for approval to treat. Occasionally we
are faced with a
situation where owners cannot be
reached. Please read and approve the
following information:
I understand Star Meadow Animal
Clinic will exercise all due diligence in the care of my pet. I hereby waive and release Star Meadow Animal
Clinic, its employees, owners and
agents from any and all liability
for injury or damage, including that which may result from the action of any
pet, including my own. I assume the risk
of such damage or injury
while my pet is in the care of Star
Meadow Animal Clinic, while on the grounds or surrounding areas.
In the event that my pet experiences
a medical emergency and I cannot be reached to approve treatment, please treat
my pet with whatever is necessary to safeguard his/her
health including surgery, and transfer to the
emergency clinic if necessary. I
understand that I will be financially responsible for all treatment costs.
I have read and understand
this boarding contract and agree to the terms indicated above:
Client
Signature_________________________________ Emergency contact
#(s)_____________________________
Person
other than owner authorized to pick up
pet_______________________________________________________
Feeding
instructions & quantity - Our food (E/N)__________________ Own Food (fee
applies)____________________
Pet's
toy/belongings
_____________________________________________________________________________
Medications___________________________________________________________________________________
____________________________________________________________________________________________
Is
your pet aggressive toward other animals? _______ Towards people? _______ Has anxieties/fears?
_____________
If yes, please
explain____________________________________________________________________________ ************************************************************************************* õ Daily
Boarding Rates ö (Please Check Services Desired)
¨Dogs under 10 lbs... $18.00 ¨ Dogs 11-25 lbs… $19.00 ¨ Dogs 26-50
lbs… $20.00
¨Dogs 50 lbs and over, or kennel run by request…
$22.00 ¨ Cats… $13.00 ¨ Exotics…
$13.00
öAdditional
Services õ
¨ Custom feeding (pet's own food from home) $1.50 per day ¨ Nail Trim… $14.00
¨
Playtime! 15 minutes each: ¨ One playtime… $5.00/day ¨ Two playtimes… $10.00/day
Daily medications: ¨ Once daily... $1.50/day ¨ Twice daily… $3.00/day ¨ Three times daily… 4.50/day
********************************************************************************************
FOR
OFFICE USE ONLY:
Dogs Cats
Rabies_________DAP________Bordetella_________Fecal_______ Rabies_______CVRC______Fecal________
( Date Due ) (
Date Due )
if
outdoor: FeLV/FIV___________
ADMITTED BY_________