The required sections have a red * asterisk.
*Today's Date:
*Client's Full Name:
*Email Address:
*Phone Number:
*Patient's Name:
*Sex:
*Date of Birth:
*Species:
*Age:
*Breed:
While your pet is staying with us, we assure you that he or she is receiving excellent care and our full attention. Your pet will always be staying in our air-conditioned/heated facility, until their exercise or potty break times.
Dogs will be taken to our outdoor exercise area (weather permitting) a minimum of four times daily and cats will be let out into the cat playroom facility to exercise. If you have any questions, please ask one of our helpful veterinary team members.
Vaccinations: All boarders must be current and up to date on all vaccinations to board at our facility. We require current boosters of Bordetella, DA2PP (distemper/parvo), Rabies, Canine Influenza (both H3N8 and H3N2) and Leptospirosis vaccinations for all our canine guests. For felines we require FVRCP (feline distemper) and Rabies.
Should your pet arrive without record of a vaccine we will administer it here upon arrival. A full physical exam for $69.00 will be performed before vaccines can be given. Each pet is required to have had a full physical exam by a veterinarian within the last 12 months.
Boarding Exams: All pets that do not receive an examination by the doctor will get a brief examination by one of our technicians to ensure that there are no health problems that need to be addressed before boarding. Each pets' weight and health condition are monitored throughout their stay with us.
Intestinal Parasite Exam: A fecal check must be performed once every six months to check for intestinal parasites. This is for the protection of your pet and to avoid exposure and infection of other pets staying at our boarding facility.
Fleas and Ticks: All pets entering our facility for overnight care will be checked for external parasites such as fleas and ticks. If a pet is found to have a problem with either of these, they will be treated at the owners' expense. Pinellas Animal Hospital reserves the right to refuse admission in extreme cases for the protection of the other pets in our clinic.
Bathing: All dogs staying in our facility will receive a complimentary bath and brush, nail trim and ear cleanse on the day they are picked up to go home.
Bedding, food and toys: All supplies necessary for boarding are provided by the hospital. However, you are welcome to bring along your pets’ belongings from home if they are clearly labeled, along with their own food if preferred.
PLEASE NOTE due to the risk of cross contamination we do not feed any form of raw diet at this facility.
Pick up times: All pets will be ready for pickup Monday thru Thursday from 2:30 p.m. to 6:00 p.m., Friday 2:30 p.m. until 5.00 p.m. and Saturday from 11 a.m. until 12.30 p.m.
There are a limited amount of Sunday pickups available between 3:00 pm and 5:00 pm, if scheduling for a pick up on Sunday, payment for boarding must be made in advance, as the office is technically closed at this time.
Emergency Treatment: Please be aware that some pets are under stress while away from their owners and may become ill during boarding, the most common symptom being diarrhea. The doctors at Pinellas Animal Hospital will routinely prescribe medications for this condition as they deem necessary for the duration of your pets stay at the clinic.
In the event of any other treatment, emergency or otherwise we will attempt to contact you through the emergency contact number given at check in.
*Please read and check one of the following options below with regards to any treatment to be given during your pets stay at our facility:
I authorize my pet(s) to receive any treatment or medications deemed necessary during his/her stay, and I understand that these medications will be an additional fee that must be paid upon pick up of my pet.
YesNo
I DO NOT authorize my pet(s) to receive any additional treatment without calling me first to go over the necessary treatment costs. I understand that some circumstances require immediate attention due to the urgency of the situation and that if this situation occurs you may proceed with treatment without calling to confirm. I understand that additional fees will be included in the original invoice and are to be paid upon the pickup of my pet. (insert check box here)
This form is effective as from the date of signature and will stay in effect for 3 months thereafter.
TREATMENT PLANS ARE AVAILABLE AT ANY TIME FOR ANY SERVICE AT THE REQUEST OF THE OWNER.
* Digital Signature:
