Amelia Island Animal Hospital

Amelia Island Animal Hospital

NEW POLICY: TO BETTER CARE FOR YOUR PET POST BOARD BATHS, A BAG OF TREATS, AND A HEALTH EXAM ARE FREE WITH MORE THAN 2 DAYS OF BOARDING !!!!

(A greater than $65.00 VALUE)

Health Exams with vaccines are excluded

(We are also the only local kennel that walks dogs at least 3 times daily and weighs animals every day since their optimum health & happiness always our main concern.)

Boarding Admittance Form

OWNER:______PHONE NUMBER:______

PET:______BREED:______

COLOR:______SEX:______AGE:______

FEEDING: OWN ( ) DRY( ) CANNED ( ) TYPE:______

SPECIAL INSTRUCTIONS:______

______

ITEMS PROVIDED BY OWNER:______

______

I am the owner or agent of the above named pet(s). I understand that all animals being admitted MUST BE CURRENT ON VACCINATIONS and FREE OF EXTERNAL/INTERNAL PARASITES or they will be treated at the owner’s expense. All animals are bathed upon leaving the facility and/or as necessary at owner’s expense unless otherwise indicated.

I give Amelia Island Animal Hospital permission to take video/photographs of my pet that may be posted on AIAH documentation, network, websites and Facebook page.

I authorize the veterinarian to do whatever is necessary should an emergency arise or my pet becomes ill during his or her stay.

I hereby certify that I have read and fully understand the above authorization for my pet. I understand that I assume financial responsibility for all services rendered and that payment is due before the pet is released unless other arrangements have been made. Any medications, treatments or supplies purchased or prescribed will be at an additional charge.

Signature of Owner or Agent:______

Date In:______Date Out:______

EMERGENCY CONTACT NUMBER:______

Boarding Information

Name______Date In______Date Out______

Breed______Color______M /F Own Food: Y / N

Diet______Personal Belongings:______

Special Instructions:______

Date / / / /

am lnch pm am lnch pm am lnch pm am lnch pm

Eating (+/-) / / / / / / / / / / / /
Drinking (+/-) / / / / / / / / / / / /
Urinate (N/AbN) / / / / / / / / / / / /
BM (N/AbN) / / / / / / / / / / / /
Walk / / / / / / / / / / / /
Med 1: / / / / / / / / / / / /
Med 2: / / / / / / / / / / / /
Med 3: / / / / / / / / / / / /
Med 4: / / / / / / / / / / / /
PBB (circle Day)
Weight (DAILY)
Initial / / / / / / / / / / / /

Date / / / /

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