Boarding Form

THANK YOU for choosing our Boarding Facilities! Our Boarding 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.

IMPORTANT: Boarding dates and arrangements are not confirmed until you have received notification. A staff member will contact you by phone or email.

Name*
First Last
Email*
Phone*
Pet Name*
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)
Drop off Date*
Date Format: MM slash DD slash YYYY
Drop off Time*

: HH

MM
Pick-up Date*
Date Format: MM slash DD slash YYYY
Pick-up Time

: HH

MM
Emergency Contact #1*
First Last
Phone*
Emergency Contact #2
First Last
Phone
Is your pet current on vaccinations? Please bring a copy of your pet's current vaccination records, if not from our hospital.
Have you administered any flea/tick preventative to your pet? If so what and when?
Does your pet get anxious or scared with storms, fireworks, etc? If so, do you authorize BVH to administer medications to calm your pet?
MEDICAL ILLNESS POLICY: ONE OF THE ADVANTAGES OF BOARDING YOUR PETS AT A VETERINARY HOSPITAL IS THAT VETERINARY ATTENTION IS READILY AVAILABLE SHOULD THE NEED ARISE. IF YOUR PET BECOMES ILL, WE WILL CALL YOU THE OWNER AND/OR THE EMERGENCY CONTACT REGARDING YOUR PET'S SYMPTOMS, TREATMENT OPTIONS AND ESTIMATE OF ADDITIONAL COSTS.
- Nail Trim
- Bath
- Microchip
Please check any additional services you wish us to provide for your pet at your expense
Physical Exam additional service provided for your pet at your expense (list any issues your pet is experiencing, leave blank if unwanted).
I have read and agree to all terms listed above. I authorize Buffington Veterinary Hospital to any appropriate medical and surgical procedures necessary for the health and immediate well-being of my pet. I agree to pay in full for my pet's boarding and for emergency and/or requested medical care at the time of discharge.
Owner/Responsible Agent Signature:
Date
Date Format: MM slash DD slash YYYY

Monday	8:00am – 5:00pm
Tuesday	8:00am – 5:00pm
Wednesday	8:00am – 5:00pm
Thursday	8:00am – 5:00pm
Friday	8:00am – 5:00pm
Saturday	Closed
Sunday	Closed

Boarding Form

Boarding Form

In this section

My Pet’s Medical Records

Request Services

Contact Us

Boarding Form

Boarding Form

Share

In this section

My Pet’s Medical Records

Request Services

Contact Us