Boarding

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 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): __________________________________________