MIME-Version: 1.0 Content-Location: file:///C:/0E65A0CB/NewBoardingCheck.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Boarding Check-in Agreement

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Boarding Check-in Agreement

University Animal Hospital

9357 University Blvd

Orlando, FL 32817

407-657-729= 7

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Weight________ &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;     Date___________

 

 

Pick Up Date____________ Time_____ (Owner to call if pick up date changes)

Bath or Groom Date_______        Emergency Contact# __________________= ___

 

Special Instructions:

______________________________________________________= __________

 

Own Food? Or =  Kennel Food? (Science Diet Sens= itive Stomach)   Any food allergies?

Feeding Instructions: How much and how often?____________________

Medications?<= span style=3D'mso-spacerun:yes'>   Yes or No?    If yes, have they been= given today? ________ (give medication to receptionist)

 

Has Advantage= or Frontline been applied within the past month? Yes/No When?__________

 

Your pet’s health and comfort, and that of all o= ur patients, is our highest priority.  To ensure our patients’ well being, and to prevent a flea infestation in our facility, our policy is as follows:  If your pet has fleas, we will administer an oral flea control product (Capstar) at a charge of $5 per pet.<= /b>  Capstar is an oral flea treatment = that begins working within 30 minutes to kill all the adult fleas on your pet; t= his medication lasts for only 24 hours and is safe for use in cats and dogs. You will be able to continue your current flea prevention at home without interruption.

 

Please initia= l that you have read and understand this policy: __________

 

Reasonable care will be used against injury, escape, or death of th= is pet(s). The clinic and staff will not be held responsible for problems that= may occur given that reasonable care and precautions are followed. I understand that any problem that occurs with my pet(s) will be treated as deemed best = by the staff veterinarians and I assume full responsibility for the treatment = expense incurred.

 

____________________________

Owner or Responsible Party

______________________________________________________= __________________

Office Use Only:

   &nbs= p;             Normal=        Abnormal

Ears            (    )              (    )

Eyes            (    )              (    )

Nose           (    )              (    )

Skin             (    )              (    )

Fleas/Ticks       Yes/= No        =     CAPSTAR given   &nbs= p; Yes/No

Description of Abnormalities_______________

_____________= ___________________________