***PLEASE CONTACT US TO MAKE YOUR RESERVATION. After you have made your reservation, please complete this form.****
PROVIDENCE VETERINARY HOSPITAL provides boarding services for our clients. All boarders must have been examined by one of our veterinarians in the last year. This enables us to be aware of physical changes and temperament. All pets must be current on their vaccinations and we must have written proof on file prior to admission. Pets must also be free of fleas or a flea treatment will be applied at an additional charge.
If you prefer, you may view this form in PDF format, print it, and bring it with you. You will need Adobe Acrobat Reader to view this form in PDF format.
|
Providence ID:
(optional) |
|
|
Location:
|
|
| First Name: |
|
| Last Name: |
|
| Email: |
|
| Phone: |
(xxx) xxx-xxxx |
| Pet's Name: |
|
| Entry Date: |
MM/DD/YY (Closed Sundays and Holidays) |
| Pick-Up Date: |
MM/DD/YY (Closed Sundays and Holidays) |
Please note that changes to the reservation require 24 hours notice and we may not be able to accommodate all requests. |
PROVIDENCE VETERINARY HOSPITAL feeds Hills Prescription Diet and Science Diet products twice daily. If you prefer, we will feed your pet's diet which you bring from home. |
| Pet Food: |
|
| Amount of food: |
|
If more than one pet from your household is boarding: |
| Can they be caged together? |
| Can they be fed together? |
| Can your pet have treats? |
PROVIDENCE VETERINARY HOSPITAL will give routine medications for an additional daily cost. |
| Any medications? |
|
| Daily med. dosage: |
|
ROUTINE MEDICAL CARE:
While your pet is boarding, are there any services that we can perform? |
|
Physical exam
Vaccines
Bath
Nail trim
Advantage application
Dental prophy
Lab work
Microchip
Other
Additional information or instructions:
|
If we find non-emergency health problems (e.g. ear infection, hot spot): |
|
The following personal belongings are being left. PROVIDENCE VETERINARY HOSPITAL accepts no responsibility for these items. Pets often damage or destroy them. |
|
In case of emergency, how do we reach you?
(xxx) xxx-xxxx (xxx) xxx-xxxx |
In the event of a life-threatening situation, if I cannot be contacted after a reasonable effort is made, I authorize PROVIDENCE VETERINARY HOSPITAL to perform necessary treatment up to the amount of $ |
| |
|
