Boarding Agreement Form

Est. Time of P/U (after 11 am):

Feeding Instructions:

Instructions: (i.e. 1 cup BID, mix wet food, etc.)

*PPHC is not responsible for any lost or damaged items that are left with your pet*

No ($16.00/session for a minimum of 15 minutes. See menu for details)

No (Administering meds add $8.50 per day. Administering insulin add $16.50 per day)

Name/mg of medication

Administration instructions

Name/mg of medication

Administration instructions

Name/mg of medication

Administration instructions

Name/mg of medication

Administration instructions

**All pets MUST have proof of current vaccinations before being left at our clinic or we will vaccinate them for you**

*Required by boarding

Vaccine/testing to be done by

Doctor (exam fee will apply)

Technician (tech fee will apply)

*Technicians can ONLY do fecal, heartworm, and bloodwork testing can ONLY administer the bordetella, lepta, and flu vaccines. Your pet MUST have been seen by a doctor within the past 11 months in order for a technician to give these particular vaccines or do testing*

Additional services needed:

In the event of an emergency,

Treat my pet first

Call before treating

Treat my pet first

Call before treating

*Bathing is free for ALL dogs staying more than one night. Nail trims are not included, but can be added on for an additional fee*

Check here if you would like a nail trim for an additional fee of $24.97

Check here if you would like your cat bathed before pickup (at owners expense-sedation may be REQUIRED for safety of clinic staff)

I acknowledge Pearland Pet Health Center does not supply overnight staff, and that my pet will be left unattended after the facility is closed, except for the times kennel staff are coming to care for boarding pets.

I acknowledge that this facility is not equipped with an on-site fire suppression sprinkler system

*Charges for services and medication are due upon receipt of the invoice. Payment can be made by cash, check, or credit card. If you neglect to pick up your pet within 5 days of the above date, we will assume that the pet has been abandoned and we are hereby authorized to supervise the pet’s needs as we deem necessary.*

Boarding Agreement Form

Patient Name:

Arrival Date:

Departure Date:

Weight:

Checked in by:

Arrival Time:

Est. Time of P/U (after 11 am):

Contact Number:

Feeding Instructions:

Type/container:

Belongings:

Extra Playtime:

Medications:

Name/mg of medication

Administration instructions

Name/mg of medication

Administration instructions

Name/mg of medication

Administration instructions

Name/mg of medication

Administration instructions

Canine Vaccines:

Feline Vaccines:

Vaccine/testing to be done by

Additional services needed:

In the event of an emergency,

Minor Issue:

Signature:

Date: