Check-In Date *

Check-Out Date *

Will you be picking up in the morning or afternoon? *

Morning
Afternoon

Animals getting baths/grooms cannot be picked up before 11am. We do these the day they go home. We will call you at the number you provide when they are ready to go.

Name *

First

Last

Phone *

Email *

Pet's Name *

Emergency Contact Name and Number *

*If boarding multiple pets, you will need to fill out separate boarding forms for each

Please answer the following questions concerning your pet's present health:

Does your pet have any behavioral issues? *

Please explain. *

Has your pet shown any recent signs of the following?

Diarrhea
Vomiting
Sneezing
Coughing

Have there been any other unusual symptoms or signs that we should be aware of while boarding your pet?

Medications/Dosage/Instructions:

Belongings: *

We try to make pets as comfortable as possible by providing plenty of bedding. Please do NOT bring beds, blankets, pillows etc. from home. We do not have the space and we will not be able to wash them if they get dirty. If you do bring outside items, Robertson County Animal Clinic is not responsible for lost/misplaced items.

Diet:

Unless specified otherwise, we feed dry Science Diet pet food or dry Sensitive Stomach pet food. Please notify us of any special food or instructions. Be aware pets sometimes do not eat as well as when they are at home.

Additional services requested (additional charges will be applied)

Grooming - an additional appointment needs to be requested and scheduled separately prior to boarding reservation. These appointments are usually booked 6 weeks in advance.
Bath
Nail
Doctor exam
Other

Any pets getting baths or grooms will typically have this done the day they leave. They may not be ready to pick up until later in the afternoon.

Please explain. *

External Parasite Control:

For the protection of your pet as well as other pets, your pet will be treated for fleas/ticks if the doctor deems it necessary.

***You will be financially responsible for this treatment.

ANXIETY:

Some dogs exhibit signs of anxiety while boarding, such as vocalization, pacing, repetitive jumping or spinning, or an inability to settle. Trazodone is an anti-anxiety medication that can be given while your pet is here to help with these clinical signs.

If your pet shows signs of anxiety while boarding, do our doctors have your permission to prescribe Trazodone during their stay? *

Yes, I give the doctors at Robertson County Animal Clinic permission to prescribe and administer trazodone to my dog while boarding. I understand I will be charged a minimum of $35.18 for these medications and any left over medication will be sent home. I do NOT need to be contacted if this medication needs to be prescribed.
Yes, I give the doctors at Robertson County Animal Clinic permission to prescribe and administer trazodone to my dog while boarding. I understand I will be charged a minimum of $35.18 for these medications and any left over medication will be sent home. I DO want to be contacted if this medication is prescribed.
No, I do not give permission to prescribe trazodone.

Boarding Policy/General Information:

Robertson County Animal Clinic is protected by ADT Security Systems. All of our facility is climate controlled. Dogs will be placed in an outdoor run multiple times during business hours. On weekends and holidays, staff will come in twice daily to care for your pet. Admitting/discharging is only done during regular business hours. Remember that pets' behaviors and habits may vary when away from their home environment. Dogs must be up to date on rabies, Bordetella (kennel cough), and DHPP. Cats must be up to date on FVRCP and rabies.

In an emergency, by law, we can perform minimal life-saving care on your pet without consent, but we will always try to contact you first. You are financially responsible for all services rendered and payment is due at the time of pick-up.

Signature *

Clear Signature

Date *

Emergency Phone Number(s)

Boarding Release Form

Boarding Release Form

Please complete the form before your visit. We will get in touch with you if we have any questions.

Location

Hours

Contact Us

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