Female Intact
Female Spayed
Male Intact
Male Neutered
I am the owner or authorized agent for the pet described above and have the authority to execute this consent. I understand, that in case of emergency, should I be unable to be reached, I authorize either emergency contact above to execute consent for treatment of my pet.
I agree to pick up my pet at the scheduled pick-up time or notify Bradford Hills Veterinary Hospital if I need to extend the boarding period.
I have provided the correct medications/supplements along with their correct dosage, frequency, and last given times. I understand that staff will not accept or administer any medication or supplements that are not in their original labeled container(s).
I understand that Bradford Hills Veterinary Hospital will take reasonable precautions to prevent illness, injury, or escape of my pet. However, I acknowledge that issues such as stress or behavior problems may arise during boarding.
In case of an emergency, I authorize Bradford Hills Veterinary Hospital to perform necessary medical treatments and procedures. I accept responsibility for any associated costs.
I certify that my pet has not shown any aggressive behavior towards humans or animals.
My pet has had a negative fecal exam within the last 6 months and has not tested positive for intestinal parasites in the last 14 days. My pet is currently on flea/tick/parasite prevention. I consent to my pet being treated for fleas/ticks/parasites if found, and I accept financial responsibility for any such treatments.
My pet is up to date on required vaccines: Canine: DHPP, Rabies, Bordetella, Canine Influenza. Feline: FVRCP, Rabies. Ferret: Rabies
I understand if my pet is not medically able to be vaccinated (proof provided) that it will be boarded in isolation.
I understand if my pet is diagnosed with any of the above medical conditions they cannot be boarded.
I release Bradford Hills Veterinary Hospital and Pet Hotel from any liability arising from boarding services or treatments provided. I understand that I am financially responsible for all services rendered, including unforeseen medical needs.
I agree to pay in full on the day of pickup.
Owner's Name:
Date:
Bradford Hills Veterinary Hospital
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