Dental Health Services
Euthanasia and Cremation Services
Lodging Information Form
Is your pet currently on any medications aside from prevention?
If yes, what medications are they on and how often are they administered?
Will your pet be bringing their own food?
How much and how often do you feed your pet?
If my pet is not eating, I give Country Friends Veterinary Clinic permission to provide my pet with canned food (EN, OM, or Recovery)without contacting me first
I realize that any CFVC canned pet food cost will be added to my boarding charges.
Country Friends provides your pet with blankets and bowls during their stay. Will you be bringing any of your pet's belongings for their stay?
Please list the items you plan on bringing below. Please note that some toys and treats may be considered unsafe to have during unsupervised time periods.
Is your pet getting a bath during his/her stay?
I realize that my pet(s) will be bathed and ready for pick-up after 3 pm and that I will receive a phone call notifying me.
If my pet needs medical attention during his/her stay, the staff at Country Friends Veterinary Clinic - 1. HAS 2. DOES NOT HAVE - my permission to provide treatment and/or can food at an additional cost to me.
Does Not Have
All animals admitted must be current on vaccinations and be free of external parasites. Animals not in compliance with the above policy will be treated at owner’s expense. Any estimate of charges or fees for presently planned procedure(s) is only a best approximation and the final bill may be greater or less than this amount.
I have read the above conditions for treatment and acknowledge that I may have a copy of this form, if requested.
All fees for services are due when patient is released.
I have read and understand.
Please list Emergency Contact Numbers: