Statement of Boarding Policy

Phone:(606) 436-3446 Fax:(606)435-0382

STATEMENT OF BOARDING POLICY

Client #______Client Name______Phone: ______

Patient# ______Patient Name______Date______

I agree that by signing this statement, I have read and agree to comply with the following policies:

1.  All animals boarding in this facility shall be current on the following vaccinations:

·  FVRCP, Feline Leukemia, and Rabies for cats

·  DAP-PV, Bordetella (Kennel Cough) and Rabies for dogs

·  Negative fecal within 6 months to 1 yr (per Dr's recommendation)

If our clinic has not performed said vaccinations, we require confirmation from another facility. If we cannot confirm that these have been done, it is understood that the Town and Country Animal Clinic will vaccinate these pets before boarding at our clinic. This policy is for the health and safety of your pets, our staff members and other pets staying in our facility.

2.  No animals will be discharged outside regular office hours. However, we also realize that many pets are considered members of the family. As a courtesy, we will on occasion release pets after hours. This will be extended, only if:

·  The request is made when the pet is dropped off.

·  This is a courtesy. Doctors or staff members will not make a special trip to the clinic to release boarders. If a doctor is at the clinic on an emergency or a staff member is walking/feeding animals and is convenient to do so, clients will be contacted.

·  An extra day's boarding will be charged for, no matter how early the pet is picked up.

3.  If a pet becomes ill while boarding, Town Country Animal Clinic will make all possible efforts to contact the owners to inform them of said illness and to make recommendations for treatment. If the owner cannot be reached, it is understood that the Town and Country Animal Clinic will treat the animal per Dr.'s recommendation. Owners are liable for payment for any and all treatments necessary.

4.  During busy holidays, our boarding space rapidly fills up. Boarders will be accepted as follows:

·  Current clients (clients calling and "reserving a space" come first)

·  Family members of clients in town visiting

·  Clients of other clinics

5.  We reserve the right to refuse a pet if:

·  Said pet is not current on vaccines and the owner refuses to allow vaccination.

·  An animal is ill but owners refuse to have treated.

·  Animals are vicious or overly aggressive and are considered dangerous to other animals or personnel.

I understand that the Town and Country Animal Clinic, takes every precaution for the health and safety of the animals in its care. However, I also understand that even with all possible precautions, some things cannot be foreseen and due to the close proximity with hospitalized pets, there is an increased risk of noscomial infection.

Signature of pet parent/agent: ______

Drop Off Date______Pick Up Date ______

Pain Assessment Scale:

Diet:

How much:

How often:

Meds: ______

______

______

CONTACT PHONE NUMBER: It is very important that you provide phone numbers where you can be reached if unexpected events and/or an emergency should arise.

HOME:______Cell #______