479-242-7824
[email protected]
Online Store
Book Appointment
Home
About Us
Our Team
Reviews
Careers
Contact
Services
Pet Wellness Exam
Pet Vaccination
Pet Dental Care
Pet In-House Laboratory
Pet Diagnostic Imaging
View All Services
Resources
Payment Options
Hospital Tour
Blog
Book Appointment
Home
About Us
Our Team
Reviews
Careers
Contact
Services
Pet Wellness Exam
Pet Vaccination
Pet Dental Care
Pet In-House Laboratory
Pet Diagnostic Imaging
View All Services
Resources
Payment Options
Hospital Tour
Blog
Book Appointment
Boarding Form
Get Started
Complete your pre-boarding paperwork online.
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Email
*
Phone
*
Pet's Name
*
Has your pet boarded with us before?
*
Yes
No
Pet's Age
*
Pet's Weight
*
Sex
*
Male
Neutered Male
Female
Spayed Female
Emergency Contact Number
*
Required medications?
*
Yes
No
Medication Instructions
*
Last Time Medication Was Given
*
Feeding Instructions
*
When was your pet last fed?
*
Please list any personal belongings.
Additional services while here (nail trim, bath, flea/tick/heartworm prevention, etc)
Pick-Up Date / Time
*
Date
Time
Drop-Off Date / Time
*
Date
Time
**PLEASE NOTE: NO PICK UP / DROP OFF BETWEEN 1 AND 2 PM DUE TO CLINIC LUNCH HOUR
VACCINATIONS: Dogs boarding at River Valley Animal Hospital must be current on their DHPP, Bordetella (kennel cough) and Rabies vaccinations. Cats boarding at RVAH must be current on their FVRCP and Rabies vaccinations. If you are not a client of RVAH, please provide proof from your treating veterinarian as to the status of your pet’s vaccine and internal parasite history. If your pet is not current on any of the required vaccinations or internal parasite testing, this will be updated by RVAH and your bill adjusted accordingly.
*
I have read and understand.
INTERNAL PARASITES: All pets staying at RVAH must have current fecal (stool sample) examination within the past 6 months (one year for cats) indicating that the pet was negative for internal parasites. Pets with fecal negative results more than the time limit listed above will be tested at RVAH and if the pet is found to have any internal parasites, they will be treated accordingly for the parasites at the owners expense.
*
I have read and understand.
EXTERNAL PARASITES: All pets will be examined for external parasites. If fleas or ticks are found, your pet will be treated for their own wellbeing as well as for the safety and wellbeing of the other pets at RVAH at the owner’s expense.
*
I have read and understand.
ILLNESS/INJURY: Reasonable precaution will be used against injury, escape or death of this pet. In the event of injury or illness, I understand my pet will be treated as deemed best by the attending veterinarian and staff and I assume full responsibility for the treatment expense within reason. In the event of an emergency, RVAH will attempt to contact you and inform you of your pet’s condition ASAP; if you are unreachable your emergency contact listed above will be contacted. RVAH and its employees will not be held liable for any personal injury or property damage or any injury, illness or disease sustained by my pet stemming from their participation in boarding provided reasonable care and precautions are followed.
*
I have read and understand.
CHANGE OF PLANS: I understand it is my responsibility to notify RVAH of any change in my plans when boarding my pet; this includes being picked up at a different date and time than previously scheduled or being picked up by someone other than the listed owner of the pet.
*
I have read and understand.
Signature
*
Clear Signature
Message
Submit