BOARDING ADMIT FORM:                                     Cole Veterinary Hospital

Email to- staff@colevet.com                                Fax to- (888)465-8390                          

Owner: ___________________________________  Pet: __________________________________                 

Species: __________________________________   Breed: __________________________________

Gender: __________________________________   Color: __________________________________

Age: __________________________________         Weight: _________                     

Drop off date:_____________    Pick up date:____________   Estimated pick up time*: ____________

Owner Consent:

Cole Veterinary Hospital requires current vaccines and pets to be free of external/internal parasites to board with us. Dogs must be up to date on Rabies, DA2PP, and Bordetella. Cats must be up to date on FVRCP and Rabies vaccines. If your pet is not up to date on vaccines or is found with parasites – the vaccines and/or parasite medications will be given at the owner’s expense.  If your pet becomes ill while in the care of Cole Veterinary Hospital, we will call the contact information provided to inform you of your pet’s symptoms, recommend treatments, and give an estimate of any additional charges. In the case of a life threatening emergency where an owner cannot be reached, Cole Veterinary Hospital will perform any necessary life saving services at the owner expense.  For all other issues that may arise please note below how you would like Cole Veterinary Hospital to proceed:

(   )Please perform any services the doctor deems necessary for the best care of my pet until someone can be reached. (Including life-saving measures and diagnostics)

(   )Do not administer any medical treatment until specific authorization is given.

While staying with us, would you like your pet to have play time in our fenced in area? 

                (   )Yes  (   )No   If no, please explain: ____________________________________________________________________

Would you like to have your pet bathed* prior to pick-up?     (   )Yes       (   )No   

                *Additional fee. Baths also include nail trim, ear cleaning and anal gland expression. Pets boarded for seven or more days will receive a complementary bath prior to pick up.

Please include detailed medication directions and/or feeding instructions for your pet while staying with us:

Medications*: ____________________________________________________________________________________________

                *Additional fee

Feeding instructions:  ___ cups    (   )once daily    (   )twice daily      Own food:   (   )No   (   )Yes ________________________________

Please indicate any personal items that your pet will have while boarding with us:

_______________________________________________________________________________________________________

Signature: ______________________________________________    Contact number: _________________________________

Emergency contact: ______________________________________   Emergency number: _______________________________