Stuart Animal Hospital
Call us: 772-287-2242
stuartanimalhosp@bellsouth .net
Boarding Form
We want to make your pet's stay with us as enjoyable as possible. Please fill out this form prior to bringing your pet in for boarding so that we can expedite the check-in procedure. If you are planning on boarding multiple pets, please submit separate forms.
First Name
Last Name
Address
Pet Name
Contact Number #1
Contact Number #2
Check In Date Check Out Date
Bath: Free after 7th Night (Canines Only)
Please list any and ALL medical conditions below
Boarding Terms...
ALL pets must be current on the following vaccinations and tests (If not current all vaccines will be given at owner's expense.)
Dogs: Rabies, DHPP (Distemper, Hepatitis, Parvo & Parainfluenza), Bordetella and Fecal Exam.
Cats: Rabies, FVRCP (Feline Viral Rhinotracheitis, Calici and Panleukapenia)
**Any pet that has not had a physical exam within the last year will need to be examined by our doctors prior to, or during boarding. If your pet has an extensive medical condition, an exam by our doctors prior to boarding will be required at owners' expense.
***All pets will be examined for external parasites upon entry and will be treated at owners' expense if needed. Please list date of last flea/tick prevention
Please provide a list of medications and dosage schedules
Are there any issues you would like our doctors to address while your pet is boarding with us? Please list them.
Unless otherwise instructed your pet will receive Hill's Science Diet Sensitive Stomach. If your pet has special dietary needs, please provide the food.
NO animal will be released before 9:00 AM Monday-Saturday. Sunday or Holiday pick-ups will not be allowed. Saturday pick-ups must be by 11:30 AM. Pets WILL NOT be allowed to stay together in the same cage at night. In the unfortunate event that a pet dies during its stay, Stuart Animal Hospital and its staff SHALL NOT be held liable.
The undersigned hereby warrants that they are the owner or authorized agent for the pet listed in this record and does consent and authorize our staff to care for and treat said pet. If an emergency situation arises, I authorize services, including the use of anesthesia if necessary , to treat my pet until such time as I can be contacted. I understand that every reasonable effort will be made to contact me as soon as possible if an emergency or unanticipated situation arises with my pet. If I am unable to be reached, I authorize the veterinarians to proceed with treatment as deemed necessary for the well being of my pet. I understand I will be responsible for all charges incurred at checkout.
