Medical Boarding Drop-Off Checklist

Pet Name:

What time zone will you be in during your pet's stay?

Dates/Times of Stay:

Date/Time of Drop-Off
Date/Time of Pick-Up

Occasionally pets may develop problems from environmental and dietary changes. (i.e. vomiting, diarrhea, coughing, self-trauma such as pawing at the cage or biting their skin, etc.) We make every attempt to call you or your emergency contact to let you know the cost prior to treatment. However, if we are unable to contact anyone, we will treat accordingly for the health and comfort of your pet.

Emergency Contact #1:

Emergency Number #1:

Emergency Contact #2:

Emergency Number #2:

Are these individuals allowed to dictate any needed treatment or pick-up/ remove your pet from our facility:

Yes

No

Type of Boarding Care:

Medical Boarding

Medications, Vitamins, Supplements:

Medications will be given as directed on the medication label, or as stated below. Please list all current medications.

Allergies (list any known):

Diet:

The owner has provided individual meals in pre-portioned Ziploc bags labeled with the pet’s name. Please provide extra bags of food should your pet's stay be extended. If we run out of food, house food will be fed but this may not be ideal for dogs who have allergies or dietary sensitivities.

Feeding Instructions

Once a day

Twice a day

Three times a day

What time of day do you feed your pet?

How much food is given at each feeding?

Type of food

Wet

Dry

Brand of food

List all personal belongings being dropped off with your pet:

PetCare Assistants to take pictures of pet's belongings. We discourage leaving personal belongings (i.e. toys, blankets, bedding, etc.) due to sanitation and orderliness requirements. We are not responsible for any items that are lost or soiled.