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2278 39th Ave, Columbus, NE, United States, Nebraska
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Boarding Agreement Form
Thank you for choosing our Boarding Facilities!
Our facilities will allow your pet to be as comfortable as possible while you are away. Please feel free to contact us for a tour of our facilities at any time. Please do not assume your boarding arrangements are confirmed until we have contacted you to confirm the requested dates.
Our boarding services are reserved for active clients and patients. Access to our boarding facility is only provided to individuals and animals for whom we also serve as a primary veterinarian and have had a physical exam by one of our veterinarians in the past 12 months.
Name
*
First
Last
Phone
*
Pet's Name
*
Emergency Contact Name
*
First
Last
Emergency Contact Phone
*
Drop off Date
*
Date Format: MM slash DD slash YYYY
Pick up Date
*
Date Format: MM slash DD slash YYYY
Has your pet stayed with us before?
*
Yes
No
Please fill out any Comments or Special Instructions below: (feeding, medications, housing, exercise, request for veterinary services while boarding, etc)
In order to protect your pet, as well as those belonging to other people, we require written proof that your pet is up to date on the following vaccinations:
Dogs:
DHPP (Distemper/Parvo), Bordetella (Kennel Cough), Rabies, Leptospirosis
Cats:
FVRCP, Rabies, Feline Leukemia (FeLV)
We also require that your pet is free from external parasites. If during the period of boarding we find that your pet has external parasites such as fleas, lice or mites, treatment will be administered at your cost.
Consent
*
I agree
Drop-Offs
You may drop off your pet between
7:45 am-5:00 pm Monday-Friday
and
9:00 am-11:30 am on Saturday.
Pick-Ups
You may pick up your pet between 10:00 am-1:00 pm or from 2:30 pm-5:00 pm on Monday-Friday and between 10:00 am-11:45 am on Saturday.
If your pet had veterinary services during their stay and you wish to speak to a veterinarian, please call ahead to schedule a time.
Most dogs staying with us at least two nights tend to receive a complimentary bath before going home.
Most cats do not get baths.Please coordinate your pick-up time with us so that we can work to have your pet dry and ready.
Sunday Pickup
You may pick up your pet between 4:00-4:15 pm on most Sunday afternoons for an additional fee.
We offer Sunday pick-ups as a special service for our regular clients and patients when possible and when the following conditions are met:
1. Arrangements are made ahead of time or at time of drop off.
2. The stay is prepaid.
3. The patient does not require veterinary services during the stay other than routine vaccines.
Holiday Pick-ups will reflect Sunday pickup guidelines.
Please take your collars and leashes
with you when you drop off your pet.
Blankets, cloth items, and toys are accepted. Note: items left with your pet could be lost or damaged.
Consent
*
I agree
Boarding Options
Canine:
Small (under 25#), Medium (26-40#), Large (41-80#), Giant (over 81#), and Dog Condo
Feline:
Cats and Kittens, Standard Condo, and Large Condo
Routine Rates are calculated per animal per night with a one night minimum. Canine and Feline condos are available at a higher rate. Additional fees may be added for patients that require higher levels of care.
Animals that are
deemed destructive to our facilities
or are
unable to be handled
by our staff will
not
be accepted for boarding.
Boarding is for healthy animals requiring routine care.
Animals that are critical or likely to become critical during their stay do not qualify for boarding but rather medical boarding/hospitalization instead.
I would like my pet in a standard kennel or run.
I would like my pet in a condo, if available.
I understand that animals boarding away from home are under stress due to the change in environment
Please prescribe my pet medication to help with anxiety if needed.
Please call me before prescribing medication.
I understand pets are predisposed to digestive upsets and respiratory infections, and some unnoticed medical problems may become apparent during their stay.
*
I give permission to treat my pet:
Yes, provide all medical care
Yes, emergency care only
No, contact me first
If my pet goes into cardiac arrest:
*
I agree to staff initiating CPR; call me immediately
DNR (Do Not Resuscitate)
I understand that payment is due in full when the animal is picked up.
If I am unable to pick up my pet on the day I have indicated, I will contact Columbus Small Animal Hospital to inform them of my change in plans. If I have not contacted Columbus Small Animal Hospital within 7 days of the pick-up date indicated and/or have balances unpaid, I hereby transfer ownership of my pet to Columbus Small Animal Hospital.
I HAVE READ AND AGREE TO THESE PROVISIONS
*
I agree
Date
*
Date Format: MM slash DD slash YYYY
Δ
Home
About
Promotions
Our Team
Careers
Emergency and/or Extended Care
New Clients
New Client Registration Form
Services
Boarding
Request Boarding Appointment
Boarding Agreement Form
Pet Health
Pet Health Checker
Pet Health Library
Pet Food Recalls
Pet Insurance
Product Recalls
How-To Videos
News
Pet Portal
Pet Records
Mobile App
Refill Requests
Payment Options
Contact
Location & Hours
Make an Appointment
Shop Online
Online Pharmacy
Purina Vet Direct
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