BOARDING AGREEMENT
Gilroy Veterinary Hospital
9565 Monterey Road
Gilroy Ca 95020
Today’s date ______________ Date of Pick-up_______________ am or pm
Owner
__________________________________________________________
Bathe Medication
Pet(s) Boarding _____________________________ yes or no yes or no
__________________________________________ yes or no yes or no
__________________________________________ yes or no yes or no
__________________________________________ yes or no yes or no
Person(s) to contact in case of emergency
_______________________________________________________________
Emergency telephone number(s)
_______________________________________________________________
Pet(s) belongings (carrier, toys, bedding, etc)
_______________________________________________________________
_______________________________________________________________
Special Instruction- Include detailed medication directions,
feeding instructions, aggressive behavior and anything else you wish GVH to be
aware of:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Advance payment is requested for those pet(s) boarding with
us for more than a 14 day period.
FOR YOUR PET’S HEALTH
Vaccination Policy
To insure the protection of all pets under our care, the
following must be up-to-date:
Dogs:_______Rabies_______DHLPP_____ Bordatella
CATS: ______Rabies_______3WAY______FELV
If not up-to-date, or unable to provide proof, vaccinations
will be given in accordance with the above policy.
In addition, if any fleas/ticks are observed on your pet(s)
while boarding, he/she (they) will be treated with Frontline or Advantage at
the owner’s expense.
MEDICAL ILLNESS POLICY
One of the advantages of boarding your pet(s) at a Veterinary Hospital is that veterinary attention is
readily available should the need arise. If your pet becomes ill, we will call
the emergency number(s) you have 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(s) require treatment
to relieve immediate discomfort or to resolve an important medical condition.
_______ Please perform whatever services the doctor deems
necessary for the best care of my pet(s) until someone can be reached. Up to
$_______. After trying to reach owner and/or emergency contact by telephone and
exhausting the dollar amount indicated, if deemed necessary by the attending
doctor, I give my consent to euthanize for humane purposes.
_______ Do not administer any medical treatment. I hereby
give my consent to euthanasia for humane purposes.
I have read and understand this agreement. I fully intend to
pick up my pet(s) on the above specified date. If circumstances change, I will
notify GVH of the new pick up date. If I neglect to pick up my pet(s) within 5
days and do not notify GVH within that time frame, GVH will assume the pet(s)
is/are abandoned and are hereby authorized to dispose/sell the pet(s) as deemed
best/necessary.
GVH is not responsible for lost toys/collars/leashes, etc.
Date: ___________
Owner/Agent for pet(s):
__________________________________________
