Boarding Form

Save time during your next appointment! Complete your required boarding form online from any device at any time before your visit.

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Boarding Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. You can also download the form by clicking the button below.

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Owner Name *

First

Last

Email *

Phone *

Pet(s) *

Emergency Contact *

First

Last

Emergency Contact Phone *

Boarding Dates

From *

To *

Medications

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For your pet’s protection, Bordetella and Rabies must be current *

My pet's Bordetella and Rabies vaccinations are current.
I am unable to provide proof of vaccination and give permission to update my pet’s vaccinations in accordance with Odom Veterinary’s policy. I understand this may include a required examination fee ($45).

If any fleas/ticks are observed on your pet while boarding, he/she will receive a Capstar at the owner’s expense. *

I authorize my pet to receive a Capstar treatment at my expense if fleas/ticks are observed during boarding.

Agreement and understanding of potential abandonment if pet is not picked up within 5 days.

I understand that the continuous presence of qualified personnel may not be provided. If I neglect to pick up my pet within 5 days of the discharge date and do not notify you within that time period, you may assume that my pet is abandoned, and I hereby authorize you to dispose of my pet as you deem best and/or necessary.

Emergency contact information and instructions.

We will call the emergency number listed above regarding your pet’s symptoms. If no one can be reached, please indicate your wishes below should your pet require treatment.

Options for Emergency Treatment Instructions

Please perform whatever services the Dr. Odom deems necessary for the care of my pet until someone can be reached.
I authorize up to $[...]in medical care for my pet until someone can be reached.
Do not administer any medical treatment until specific authorization is given.

Name *

Date *

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Boarding Form

Boarding Form

Boarding Dates

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