Braelinn Animal Hospital - [Boarding Appointment Registration]

Boarding Appointment Form

Thank you for requesting an appointment with Braelinn Animal Hospital. We look forward to meeting all of your veterinary needs. Please remember that your appointment is not final until you receive confirmation from our staff.

Please note: You may be required to sign release forms in our office, as well as provide us with a copy of your pet's vaccination certificates. No reservations are final until you receive confirmation from our staff.

Boarding Policies:
All patients admitted into our kennel must be current on the following:

Dogs: DHLPP, Rabies, Fecal, Heartworm Test (if over 1 yr of age), Kennel Cough
Cats: FVRCP, Rabies, Fecal

PLEASE NOTE: All patients admitted to the hospital must be parasite free-Any evidence of fleas will be treated with Frontline Plus and/or Capstar if necessary. Any evidence of intestinal parasites will be treated appropriately unless proof of current treatment is known.

Proof of vaccination/services is required or they will be performed at owners expense.

Owner Information
Salutation
Owner's Full Name
Phone Number	( ) ext
Email Address
Pet Information
Pet Name
Species
Weight
Age
Sex	Male Female
Has your pet been spayed or neutered?	Yes No
Date of most recent vaccination
Services
Drop off Date
between	and
Pickup Date
between	and
Services requested during stay	- Basic Cleaning/Bath - Bath/Flea Treatment - Medicated Bath - Nail Trim - Prescription Refill - Other
Please list any medication your pet is currently taking, as well as special needs or pertinent medical history that our staff should be aware of while caring for your pet.
In Case of Emergency
Is there a number we can reach you at while you are away?
Phone Number	( ) ext
Who can we contact locally?
Name
Phone Number	( ) ext
Address
City
State
Zip/Postal Code
Country	United States of America Canada
If you are not an existing client of this clinic, who is your family veterinarian?
Name
Phone Number	( ) ext
Address
City
State
Zip/Postal Code
Country	United States of America Canada

Home | Top of Page | Contact Us