Boarding Admission Form

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

Get Started

Boarding Admission Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet before your visit.

Download Form

Owner: *

Date: *

Pet’s Name: *

Breed: *

Sex: *

Age: *

Color: *

Date to be picked up: *

Vaccinations up-to-date? *

If no, then appropriate vaccinations will be given. Please list all medications that need to be given while your pet boards:

Medications to be given *

How often? *

Given last? *

When was your pet bathed last? *

Do you want your pet bathed before going home? *

Is your pet on monthly flea prevention? *

If yes, when was last dose given?

What brand and type (canned/dry) of food is the pet eating? *

How much(cups)? *

When was your pet fed last? *

What else do we need to know about your pet? *

Please list items brought with your pet: *

If tranquilizer is necessary for treatment or handling, I give my permission to the Berkley Pet Hospital to administer such medications.

To prevent spread of disease among boarding guests and patients at our clinic, all animals, upon entering, must be up to date on vaccinations and free of external parasites (fleas, ticks, etc.) or they will be treated at owner’s expense. If staying longer than a week, dogs will be required to have a 20% reduced price bath weekly.

I also authorize the Berkley Pet Hospital to do whatever is necessary should a medical or building emergency situation arise, and I understand that this building is not approved by the Civil Defense as a shelter against natural disasters.

Pets are released only during regular doctor’s hours. If I am unable to obtain my pet by the above indicated pick up date, I will call to advise the additional time it needs to stay. If I do not claim my pet within 5 days of pick up date, you may assume that the pet is abandoned, and you are hereby authorized to dispose of the pet as may deem best and necessary.

Estimate

Fee/pet/day: *

Meds/day fee: *

Bath: *

Vaccinations: *

Signed: *

Emergency Number: *

Comment

Boarding Admission Form

Boarding Admission Form

If no, then appropriate vaccinations will be given. Please list all medications that need to be given while your pet boards:

Estimate

Contact Berkley Pet Hospital

Location

Contact Information

Our Hours