Voted Top 10 Vet Hospital in United States
Phone : (702) 675-7000
Fax : (702) 586-9822
1050 South Rampart Blvd., Las Vegas, NV 89145
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Boarding Release Form
Owner & Pet Information:
Pets Name (1)
Pets Name (2)
FOOD, BELONGINGS, MEDICATIONS:
I would like my pet fed in-house food:
My pet has their own food:
Food instructions, amount, times per day:
If boarding multiple pets together, do they need to be separated for feeding?
Does your pet(s) need to be separated from other pets for playing/walks:
Medications: Additional charge of $2.50 per med. /per day for administration. Diabetics $4.50 Per Day. Must be supplied by owner.
NAME OF MEDICATION
Please list any behavioral information. Ex: Aggressive over toys or food.
Would you like any additional services during the stay here? Ex. Nail trim, ear cleaning, anal glands, grooming, TLC time, treadmill?
Has your dog ever attended daycare or boarding?
How was the experience?
Does your dog get along well with other dogs?
Does your dog share well?
Does your dog growl?
Is it a play growl or warning growl?
Is your dog mouthy? i.e. does he/she nibble on you?
Would you like your dog fed during daycare?
If so please provide food in a sealed container with name and feeding instructions on it.
Is your dog on any medications?
Does your dog have any past injuries, medical problems or any current conditions?
Is your dog frightened around anything?
What happens when you or somebody else tries to take food or toys from your dog?
What kind of toys does your dog like?
Does your dog have any obedience training?
What commands does your dog know?
How does your dog react to puppies?
Rate your dog’s energy level “1” being very mellow and “10” being a total uncontrollable spaz.
How well does your dog get along with other animals “1” being aggressive “5” really doesn’t care and “10” being excellent?
Has your dog ever bit anyone? What were the circumstances?
Has your dog ever jumped or climbed over a fence? How high was it? What type of fence?
Must have written proof prior or the same day that all vaccines and fecal are up-to-date and if interacting with other animals that they are spayed or neutered.
BPAH will exercise reasonable care of the pet during its stay. The owner does acknowledge and he/she understands that their dog may co-mingle with other dogs and the risk associated with it. Although we provide reasonable supervision, dogs may escape, injuries can occur, and transmittable diseases may happen. In consideration of these services, owner expressly waives and relinquishes any claims against BPAH, its officers, owners, employees and agents, relating to services provided pursuant to the owner’s dog, and further agrees to indemnify BPAH against all such claims.
PICK UP HOURS ARE DURING THE FOLLOWING HOURS ONLY:
Monday – Thursday: 7:30 am - 7:00 pm, Friday: 7:30 am - 6:00 pm, Saturday and Sunday: 8:00 am - 4:00 pm
** If your pet is picked up after 3pm an additional night will be charged. **
Please agree to the following:
Notice: We do not have any overnight personnel on the premises for supervised care and treatment of boarding pets after hours.
If the pet(s) is/are to be picked up by someone other than the owner, arrangements must be made with the hospital regarding pick up and payment.
If the expected discharge date is changed for a later date, notification and arrangements HAVE to be made. If No communication is made and the pet is not picked up within 10 days of expected discharge date, they will be considered abandoned. Boca Park Animal Hospital is then given the right to handle the pet as deemed best.
By signing below, you agree and understand the policies listed in this Release Form. You also authorize Boca Park Animal Hospital to care for your pet during their stay with us and you accept all financial responsibility for any and all charges incurred during your pet’s stay. Thank you for choosing our team to care for your pet.
Regarding treatment of my pet(s) during its stay: (Please check one)
Treat my pet as needed. Do any and all diagnostic tests, treatments, and surgeries necessary for the wellbeing of my pet(s). I will accept full financial responsibility for all charges related to the treatment of my Pet (s).
I agree to this choice
Treat my pet as needed. But do not exceed dollar amount listed below. I understand that if the treatment is to exceed the amount indicated and we are unable to reach you, your pet(s) will not receive further treatment, even if it’s life threatening. I understand that if the Doctor and/or his agents feel that my pet is undergoing needless pain and suffering, I authorize you to humanely euthanize my pet(s). I will assume full financial responsibility for all charges occurred during this time.
I agree to this choice
Do Not Exceed this dollar amount:
BPAH will exercise reasonable care of the pet during its stay. The owner does acknowledge and he/she understands that their dog will co-mingle with other dogs and the risk associated with it. Although we provide reasonable supervision, dogs may escape, injuries can occur, and transmittable diseases may happen. In consideration of these services, owner expressly waives and relinquishes any claims against BPAH, its officers, owners, employees and agents, relating to services provided pursuant to the owner’s dog, and further agrees to indemnify BPAH against all such claims.
BPAH allows cage-free daycare to the maximum extent possible, however if for any reason due to environmental or weather changes, and/or due to behavioral issues BPAH reserves the right to isolate any pet(s) to ensure the safety of all. In addition there will be no refund due to owner for unforeseen occurrences.
Raised bed - Please note if your pet is staying in a VIP, Penthouse, Executive they will be provided a raised bed that is included in price. *** However if your pet destroys the bed you will be charged the amount of $40.00. Give my pet a raised bed.
If your pet is in a mini suite you may purchase the raised bed at an additional $2.50/day
Yes, please add to my Mini suite a bed
DO NOT give my pet a raised bed
By signing below you agree to terms of our boarding stay and agree to follow them as discussed above.
Typing your name above acts as your digital signature.