Boarding Consent Form

We make it easy to tell us everything we need to know before your pet boards with us.

"*" indicates required fields

Pet Owner Information

Owner:*

First* Last*

Cell*

Home

Work

Please leave a phone number where you can be reached in case of emergency:*

Email Address*

Pet Information

We require that pets who stay at McCormick Animal Clinic have current vaccinations administered by a licensed veterinarian. If proof of vaccinations is not submitted at admission, we will be happy to call another veterinary hospital to confirm the dates. If confirmation cannot be obtained (including lost or inactivated records), we will vaccinate the pet(s) and you will be financially responsible.

Pet's Name

Hospital Name

Hospital City and State

Name that file is listed under:

Is your pet on a special diet or are you leaving food for your pet?

If yes, please describe.

Does your pet need any vaccinations or lab work performed?

If yes, please describe.

Are there any other services you wish to have performed while your pet is in our care?

If yes, please describe.

If you have more than one pet, would you like them in the same run?

Yes

Would you like your pet to be bathed or dipped before leaving the hospital?

Yes

Please list any other special instructions for the care of your pet:

Pet Pick-Up

Please provide the date and the approximate time you will be picking up your pet:

Date

Time

Owner Signature:*

First* Last*

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