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Healthy Boarding Check In Form
Healthy Boarding Check In Form
"
*
" indicates required fields
Owner's First Name
*
Owner's Last Name
*
Pet's Name
*
Boarding Start
*
MM slash DD slash YYYY
Boarding End
*
MM slash DD slash YYYY
Feed
*
When was the pet last fed?
*
Is it OK for your pet to have a blanket?
*
Yes
No
****We are not responsible for any lost or damaged items (excluding medications) brought with your pet****
Medications and dosing
Items brought
*
When was the last dose of medication given?
** Note: An additional fee will apply for administering medications of $1.50 per day
Vaccinations:
: All pets
must
be current on vaccinations to board with us. Dogs must also be current on fecal exams.
Vaccines due:
*
Flea and tick prevention:
All pets
must
be current on flea and tick prevention for boarding. We require
Parastar
for dogs and
Revolution
for cats. If your pet has not been treated within 30 days, we will need to apply treatment to your pet.
When was your pet's last application of flea and tick prevention?
*
Does your pet need to have anything examined while here boarding?
*
Emergency Contact
*
Emergency Contact Phone
*
If we are unable to reach you, may we proceed with any necessary treatment?
*
Yes
No
Will you or your family member pcking up the pet have a form of payment?
*
If not, please provide payment at time of check-in
Signature
*
Date
*
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.
Explore
Home
Our Hospital
Our Doctors
Our Staff
Hospital Tour
Careers
Services
Wellness Exams
Vaccinations
Spay & Neuter
Microchipping
Dental Care
Surgery
In-House Laboratory
Pain Management
Resources
Online Patient Forms
Related Links
Infographics
Educational Dog Videos
Educational Cat Videos
Payment Options
Contact Us
Get in touch
913-469-9330
4320 W. 119th St.,
Leawood, KS 66209
Make an appointment