Companion Animal Hospital 1827 156th Avenue N.E. Bellevue, WA 98007 Telephone: (425) 746-1800
Compassion ~ Concern ~ Commitment
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Companion Animal Hospital 1827 156th Avenue N.E. Bellevue, WA 98007 Telephone: (425) 746-1800
Compassion ~ Concern ~ Commitment
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Phone Us At: (425) 746-1800
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COMPANION ANIMAL HOSPITAL BOARDING AGREEMENT
Owner:_____________________________________ Arrival Date:_______________________
Guest(s):___________________________________ Departure Date:____________________
BOARDING INFORMATION Hospital Hours Monday – Friday 7am to 9pm Saturday 8am to 6pm Sunday 10am to 4pm We ask that you drop-off/pick up your pet(s) no later than 30 minutes before closing.
Under no circumstances will pet(s) be released after hours.
Your pet(s) will be provided with fresh linens and food dishes. You may bring your pet’s personal belongings; however, the hospital is not responsible for any lost or damaged items.
Pets are housed individually. You may request that your pets be housed together; however, we reserve the right to separate any pets due to size differences of behavioral conflicts.
Dogs are taken to outside runs and/or on walks 3-4 times daily.
Your pet(s) will be fed the premium foods carried by the hospital or any diet provided by the owner. The hospital will not feed a “raw food” diet.
For the safety of your pet(s) and our boarding population, external and internal parasites, including fleas, will be treated at a reasonable fee.
Fees are charged on a per night basis.
Please provide your pet(s) health records or name of their current veterinarian if they have any pre-existing medical conditions that may require treatment.
CURRENT VETERINARIAN/HOSPITAL NAME:____________________________________________
VACCINATION REQUIREMENTS
Proof of current vaccines is required. If proof is unavailable, a physical exam and required vaccines will be administered at the owner’s expense.
OUR RECORDS SHOW YOUR PET(S) IS/ARE DUE FOR THE FOLLOWING VACCINATIONS:
I understand and agree to the Companion Animal Hospital vaccination requirements for boarding purposes and that if the Companion Animal Hospital staff is unable to obtain proof of vaccination for my pet(s), my pets will be examined ($49.50 fee) and vaccinated in order to meet the boarding facility standards.
o I would like my pet(s) examined while boarding ($49.50 fee). Please notify the front office staff if you would like your pet(s) examined while boarding. A technician will be notified to discuss your concerns regarding your pet(s) health.
CURRENT HEALTH CONDITIONS/TREATMENTS
MEDICAL CONCERNS:___________________________________________________________________
Medication:_________________________ Directions:___________________ Next Dose Due:_____________
Medication:_________________________ Directions:___________________ Next Dose Due:_____________
ALL MEDICATION MUST BE IN CONTAINERS AND CLEARLY LABLED WITH THE PET(S) NAME, NAME OF THE MEDICATION AND DIRECTIONS FOR ADMINISTRATION. WE CAN NOT ADMINISTER MEDICATION THAT HAS BEEN PRE-MIXED IN YOUR PET’S FOOD.
*There is a $6.00 fee per day for administration of medications and/or vitamin supplements.
FOOD OPTIONS
Due to stress, some pets have poor appetites while boarding. If this occurs, food/treats may be returned to you upon your pet(s) departure. Every effort will be made to ensure your pet(s) eat healthily while boarding and the doctor will be notified if their appetite does not improve.
Please select ONE of the following three options:
1. I do not have a preference, feed my pet(s) whatever they will eat. 2. Please feed my pet the following food(s) available at your boarding facility (check all that apply):
3. Special Diet Needed/Provided by Owner (name)_______________________________________________
Number of Feedings per Day:_______________ Amount per Feeding:________________
BEHAVIORAL CONCERNS Please check any that apply to your pet(s).
ADDITIONAL SERVICES Check any that apply.
*TLC is an extra play session (at least 20 minutes), which includes treats and special attention. The charge is per session. Your pet(s) can have TLC daily or you can specify a TLC schedule. Please notify the staff as to the amount of TLC you would like your pet(s) to receive. Daily TLC is REQUIRED for puppies less than 12 months of age AND any pet boarding longer than 2 weeks. There are no exceptions.
CONSENT I authorize Companion Animal Hospital to treat any illness/injury that may arise while my pet(s) is/are boarding, i.e. vomiting, diarrhea, constipation, anorexia, etc. I agree that all hospital care will be provided at regular hospital prices and payment is due at the time of my pet(s) release. Companion Animal Hospital will make every attempt to contact you in case of an emergency. If our staff is unable to reach you, your pet will be treated according to hospital standards. Please provide the following information:
Emergency Contact: ___________________________________ Phone: _________________________
Name of Responsible Party: _____________________________ Phone: _________________________
Signature: ___________________________________________ Date: __________________________
Name of Individual Picking Up Pet(s) (if other than the owner): _________________________________
Your pet(s) will not be released to anyone other than the owner, according to hospital records, or individuals listed on this agreement.
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