WELCOME! The staff at Lillington Veterinary Hospital welcomes your pet to their home away from home. We will care for your pet while you are away. Our normal accommodations include 3 walks a day in a fenced yard, fresh water and bedding each day. To do our best we need an understanding of their routine. PLEASE PREPACKAGE EACH MEAL IN INDIVIDUAL BAGS AND PROVIDE MEDICATION IN THE ORIGINAL PRESCRIBED MEDICATION BOTTLE.

BOARDING CHECK OUT IS BY 12PM. ADDITIONAL CHARGES WILL ACCRUE AFTER 12PM (including Sunday) PREPAYMENT IS REQUIRED FOR SUNDAY PICK UP.

Every hospitalized patient should be free of external parasites. If your pet is found to have fleas, a Capstar ($10.00) tablet will be given to eliminate them immediately.

Name *

First

Last

pre-package list pet

Phone *

Email *

What is your pet's name? *

How often does your pet eat? *

If your pet does not eat for 3 consecutive meals, is it acceptable to add in a little in-house Gastrointestinal friendly diet canned food?

YES
NO

Is your pet on any medications?

YES
NO

Please list them by name and frequency:

**Please note there is an additional charge for boarding with medications.

Are you leaving any belongings?

Yes
No

Please list each item and LABEL THEM

Do you need to pick up any medicine or products for your pet while they’re here?

Yes
No

Please list if "Yes"

Can we place bedding with your pet?

Yes
No

Answer no if your pet will chew their bed/bedding.

If your dog is not already vaccinated, would you like them to receive a Canine Influenza vaccine for extra protection against contagious respiratory diseases?

Yes
No

Are you picking up in the morning before 12:00pm or in the afternoon after 2:00pm? (We are closed between 12:00pm-2:00pm during weekdays.)
On Saturdays our pick up time is morning only between 8:30am-11:45am and our only pick up time on Sunday is in the evening between 4:30pm-5:00pm.

Please list what day and time you will be picking up. *

Date

Time

Please pre-package your pet's food for each meal. If you bring in a bag or container of food, please understand that there is a $10 bagging fee that will be applied.

INFORMED CONSENT FOR BOARDING
I understand that 24 hour supervision of animals is not ordinarily provided at this hospital. The staff at Lillington Veterinary Hospital is to use reasonable caution against injury and escape of my pet. Lillington Veterinary Hospital will not be held liable for problems that develop, provided reasonable care and precautions are followed. I understand any medical problems my pet develops while here will be treated as deemed best by the veterinarians after consultation with me (unless I am unavailable). I assume responsibility for any expenses incurred for treatment while my pet is boarding.

If I do not pick up my pet within 48 hours of the date listed without notice, you may assume my pet is abandoned and you are authorized to rehome them as deemed fit. I understand that payment will be due, in full, upon the discharge of my pet.

*Vaccination never guarantees 100% protection in the event of exposure.

Signature *

Clear Signature

Emergency Contact Information:

Client Signature *

Clear Signature

Date *

Boarding Intake Form

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Boarding Intake Form

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