Boarding Admission & Release Form

Contact Information

Pet Information

Vaccination Policy: Vaccines and an intestinal parasite exam must be current on all patients being admitted for boarding. If not current, they will be performed at the owner’s expense. Vaccine records must be brought prior to or at the time of dropping off a pet for boarding.

Required Vaccines:
For dogs: Canine Influenza (Canine flu), Rabies, Distemper/Parvo, Leptospirosis, Intestinal Parasite Exam and a 6 mos Bordetella.

For cats: Rabies, Distemper, Intestinal Parasite Exam and Bordetella. For pets requiring vaccinations, a wellness physical exam will also be performed by the veterinarian and will be charged for.


Pet Medical History



Requested Scheduling


Belongings
We will provide everything that your pet needs for their comfort during their stay. Please do not bring any belongings i.e. blankets, beds, bones or bowls. Belongings may consist of: (Food Only). If you choose not to bring your own food, we will provide your pet with a sensitive stomach dry diet.

Patient Release / Treatment Release:
Lithonia Animal Hospital will use all reasonable precautions against injury, escape and/or death of your pet. I understand that Lithonia Animal Hospital CAN NOT guarantee the health of my pet while boarding. I understand and will not hold the clinic responsible for conditions that are unavoidable in the kennel such as, but not limited to, weight loos, hair loss, upper respiratory infections, bronchitis, and diarrhea. The clinic and staff will not be held liable for any problems that do develop, provided reasonable care and precautions are followed. I understand ALL pets admitted to the clinic must be protected against contagious diseases and free of internal and external parasites, or will be treated at the owner/agent’s expense. I understand that in the event of my pet’s illness, the staff will immediately attempt to contact me or my agent to discuss the problem and treatment options. If unable to contact me immediately, the staff is authorized to initiate appropriate treatment until my agent, or I can be reached. I assume full responsibility and agree to pay in full for lodging, veterinary services, and any other expense incurred while my pet is boarded.