Boarding Release Form

Owner Name
First Last
Pet Name
First
PROOF IS REQUIRED IF VACCINES ARE CURRENT.
All pets must be current on required vaccinations. If they are not current and no proof is provided I understand that these vaccines will be administered at my expense.
Canine Vaccines/Lab Test
Vaccine Wellness Examination
- I accept
Rabies
- I accept
- Current
DHP/P-L4
- I accept
- Current
Bordetella
- I accept
- Current
Influenza N2/N8
- I accept
- Current
Lepto
- I accept
- I decline
- Current
Heartworm Test
- I accept
- I decline
- Current
Fecal
- I accept
- I decline
- Current
Feline Vaccines/Lab Test
Vaccine Wellness Examination
- I accept
Rabies
- I accept
- Current
FVRCP-C
- I accept
- I decline
- Current
Leukemia
- I accept
- I decline
- Current
Fecal
- I accept
- I decline
- Current
Canine/Feline Annual Blood Work
- I accept
- I decline
- Current
Feeding Instructions
(type of food, how much, and how often)
Does your pet need any medications while boarding?
- Yes
- No
If yes additional charges will be applied
If yes please give names of any medications and the dosage to be given:
Emergency Phone
REQUIREMENTS FOR BOARDING
All pets must be free of external parasites (ex. ticks, fleas, etc.), or they will be treated at owner's expense.
If we observe your pet experiencing fear, anxiety or stress, we have your permission to treat your pet accordingly. This may include giving your pet medication which will be an additional cost.
- Yes
- No
- Call Me
If one of your pets becomes ill, we will call the emergency number above regarding your pet’s symptoms, treatment options, and estimate of additional costs. If no one can be reached, however, please indicate your wishes below should your pet require treatment to relieve immediate discomfort or to resolve an important medical condition.
- Town & Country Animal Hospital has my permission to do whatever is necessary should an emergency arise.
- Do not administer any medical treatment until specific authorization is given.
I authorize up to
- $100
- $250
4. Pets may be picked up between 8:00 am - 7:30 pm Monday through Friday, and 8:00 am - 11:30 am on Saturday. 5. Personal items may be left at your own risk. We are not responsible for loss or damage.Submit below to agree that you have read the boarding requirements and understand the hospital's policies.

Monday	8:00am – 7:00pm
Tuesday	8:00am – 7:00pm
Wednesday	8:00am – 7:00pm
Thursday	8:00am – 7:00pm
Friday	8:00am – 7:00pm
Saturday	8:00am – 12:00pm
Sunday	Closed

Boarding Release Form

PROOF IS REQUIRED IF VACCINES ARE CURRENT.

Canine Vaccines/Lab Test

Feline Vaccines/Lab Test

REQUIREMENTS FOR BOARDING

Contact Us

Hours of Operation