Redwood Animal Hospital

BOARDING AGREEMENT

Redwood Animal Hospital

3762 Castro Valley Blvd.

Castro Valley, CA 94546

(510)582-1136

Drop off date ______Date of Pick-up______

Pet’s Name(s) ______

Owner(s) Name ______

Person(s) Name to contact in case of emergency ______

This person should be able to make medical decisions

Person(s) Phone Number ______

Pet Belongings ______

Feeding Instructions please indicate how much you feed and how often you feed

______

______

Medication Instructions and/or anything you would like doctor to check while your pet is here

______

______

Additional Services Requested (please circle all that apply):

Bath, full groom, nail trim, anal gland expression, other (please specify)______

Is your pet to be discharged to someone other than yourself?

Name______

Phone Number ______

For your Pet’s stay

For your pet’s protection, all vaccines must be current. Your pet must be free of internal and external parasites.

If not, treatment will be done at your expense. While we do our best to keep track of personal belongings left with your pet,

we cannot be held responsible for lost items. Accommodations include lodging in a cage or run suited for your pet’s size

and feeding twice a day with premium or owner provided food. Fresh water will be available at all times. Exercise and potty

breaks will be provided two to three times a day. Daily medications or vitamins from home will be administered as directed.

There is no personnel for pets during certain hours of the day including after hospital hours.

MEDICAL ILLNESS POLICY

One of the advantages of boarding your pet at the veterinary hospital is that veterinary attention is readily available should

the need to arise. If your pet becomes ill, we will call you or the emergency numbers provided regarding your pet’s symptoms,

treatment options and estimate of additional costs. If no one can be reached however, please indicate your wishes below should

your pet require immediate treatment to resolve an important medical condition.

Please choose one of the following:

___ Please perform whatever services the doctor deems necessary for the best care of my pet until someone can be reached.

This includes only non-elective treatments and diagnostics. Emergency treatment will be performed as deemed necessary.

___ I authorize up to a certain amount until someone can be reached (check one or indicate amount)

__$100 __$200 __$300 __other amount: $_____

By signing below you understand that Redwood Animal Hospital will do its best to treat your pet in the hospital, but certain

medical illness may require your pet to be transferred to an emergency hospital for overnight or extended care. The charges

incurred during your pet’s stay are your responsibility and will be paid in full upon pick up and/or when you return.

It is understood that any pet not picked up within 14 days of the Pick Up Date listed above he/she will be deemed abandoned

as per Section 1834.5 of the Civil Code. The undersigned still remains responsible, however, for all charges incurred

during the boarding stay even for abandoned pets. I have read and understand this agreement. I fully intend to pick up my pet(s)

on the above date specified. If circumstances change, I will notify the hospital of a new pick up date.

______

Owner/Agent for Pet(s) Date