Hillsboro, OR 9712
Phone: 503-648-4117
Fax 503-693-6840
CITY_________________________ STATE_________ ZIP______________
EMERGENCY CONTACT NUMBER WHILE YOUR PET IS BOARDING__________
PET’S
NAME(S)_______________________________________PROOF OF VACCINATIONS: Dogs need
DHPP-C, BORDATELLA & RABIES Cats need FVRCP-P & RABIES If you do not have proof of vaccinations your pet will have
to have the vaccines updated by the Dr. for your pet’s protection and the
protection of other pets boarding. If
your pet has fleas or evidence of flea dirt a Capstar flea pill will be given
by the Dr. The cost of Capstar is $5.00
IS YOUR PET EXPERIENCING ANY
PROBLEMS THE DR. SHOULD EXAMINE? ___________
DO YOU WANT A FECAL SAMPLE TESTED FOR PARSITES?______________
IS YOUR PET ON A SPECIAL DIET?______________________________________
IS YOUR PET ON A MEDICATION? HOW OFTEN IS IT GIVEN______________
IF A PROBLEM THAT IS CAUSING YOUR PET DISCOMFORT IS DISCOVERED DURING THE COMPLIMENTARY BOARDING EXAM, DO YOU WANT THE DR. TO BEGIN TREATMENT WHILE YOUR PET IS STAYING WITH US? YES______NO________CALL FIRST_______
DATE & TIME YOU WILL PICK UP
YOUR PET_______________I
understand that if my pet is not picked up by 12 noon there will be a ½ day
board charge added to my bill. I
understand that any problem that develops with my pet will be treated as deemed
best by the Veterinarian and I assume full responsibility for the treatment
expense. I understand that Hillsboro
Veterinary Clinic will try to reach me at my emergency contact number, but if
my pet is in a crisis there may not be time to contact me. I will contact the clinic if I’m not able to
pick my pet up at the assigned time and rearrange a new pick up time. I understand that my pet can only be picked
up during regular clinic business hours.
I understand that if I do not return for my pet, written notice will be
mailed to my address. Five days after
written notice my pet will be considered abandoned and become the property of
Hillsboro Veterinary Clinic to do with, as we deem best. Owner’s
signature______________________________________________________