GBarN Veterinary Clinic Boarding Agreement
 
Today’s date: ___________                                       Pick up date____________
 
My pet has the following health problems: ______________________________________________________________________________
______________________________________________________________________________
 
I would like the following procedures/examinations done while my pet is here. I understand I will be charged an office call plus any additional fees for treatment and medication. ______________________________________________________________________________
 
************************PLEASE NOTE************************
 
Our vaccination policy: Dogs must be current for DHLPP, Bordatella, and rabies. Cats must be current for FVRCP, FELV, and rabies. If they are not, we will update them and charge accordingly. Initial ____
 
If an animal is found to have external parasites (fleas, ticks, mites) we will be treat them and charge accordingly. Initial ____
 
Animals will not be released after hours, on Sundays, or on holidays. Initial ____
* Veterinary services during night and/or weekends is provided at the discretion of the veterinarian in charge. Continuous presence of personnel may not be provided during these hours.*
 
One of the advantages of boarding at a veterinary clinic is the availability of veterinary care should the need arise. If your pet becomes ill, we will call the emergency numbers you provided regarding your pet’s symptoms, treatment options and estimated additional cost. If no one can be reached, however, please indicate your preference below for treatment to relieve immediate discomfort or resolve an important medical condition. (choose one)
 
____    Please perform whatever services the doctor deems necessary for the best care of my pet until someone can reached This includes only non-elective treatments and any necessary diagnostics.
OR
____    I authorize up to (check one): ____$100, ____$250, ____$____, in medical care until I can be reached.
OR
____    Do not administer any medical treatment until I can be reached for specific authorization.
 
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Emergency contact person _______________________ phone # ___________________
 
Signature of owner or agent ______________________