Boarding Form – Canine

Welcome!

At Rogers County Pet Hospital, we offer patient forms online so you can complete them in the convenience of your own home or office.

Download Form

Owner’s Name(Required)

First Last

Phone Number(Required)

Pet's Name

Color

Breed

Drop Off

Pick Up

Emergency Name and Number

Boarding Packages

Basic- $30/night
Normal Boarding

Deluxe- $40/night
Normal Boarding
Bath the night before pick-up date
15 minutes extra playtime a day

Elite- $50/night
Normal Boarding
Bath the night before pick-up date
15 minutes extra playtime a day
Nail Trim (if pet will allow)
Daily Picture and Update from pet

Add-Ons

Doggie Daycare $10/day

Days

Add-Ons

Extra Treats $.50/day

Days

Add-Ons

Peanut Butter Kong $3/day

Days

Add-Ons

Grooming w/ Marley

Days

Instructions While Boarding (Feeding)

Hospital Food

Special Diet/Own Food

Hospital Food Time

Dry cup(s) (AM)

Wet cup(s) (AM)

Dry cup(s) (PM)

Wet cup(s) (AM)

Special Instructions

Medications (Oral- $2.50/day Injectable- $5/day

Additional procedures done during the boarding period

Owner Release for Boarding - Please read carefully!

We want to ensure that your pet’s boarding experience is as pleasant as possible for you and your pet. We have designed our facilities and trained our pet care staff to provide the quality of care that they deserve, and you expect. To facilitate these efforts, we have adopted the following procedures and policies. By signing our Canine Check-In Form, you are acknowledging that you have read and understand our procedures and policies.

VACCINATIONS(Required)

I understand that my pet(s) must be current on an annual physical exam, along with an annual DHPP, Bordetella, and Rabies vaccine. In addition, RCPH follows the AAHA recommendations for all dogs in group housing environments, by requiring that all boarders have an intestinal parasite examination performed every 12 months. Please keep in mind that we require vaccine verification prior to booking your reservation. In the event of an emergency, and prior vaccine verification is not given due to time constraints, RCPH has permission to contact my veterinarian to find out about vaccine status. If my veterinarian is unable to be contacted, or if vaccines are not up to date, a physical exam and necessary vaccinations will be given by RCPH. I understand that this is for the safety of my pet(s) and other boarders. I understand that I will be financially responsible for the cost of the physical exam and vaccines. If you need an estimate of charges, one can be provided upon request.

SICKNESS/INCIDENTS WHILE BOARDING(Required)

I understand that there are risks involved, including scrapes, cuts, and bite wounds. Our play yard turf and concrete can cause irritation to the paw pads if your pet is not subject to these materials at home. More serious injuries cannot be predicted, but I am aware harm, or loss could come to my pet due to the nature of the kennel setting. I understand if my pet causes harm to another pet, I may be responsible for any medical bills that occur. Rogers County Pet Hospital has the right to determine your amount of responsibility, as each incident is different. If an emergency should arise, RCPH will do their best to contact me, but in the event they cannot, I authorize RCPH to approve any medical treatment recommended by a veterinarian. I agree to reimburse RCPH for all expenses incurred due to such an event.

I understand that in a non-emergency situation, my pet will not be seen by a veterinarian, unless I have been contacted at my emergency number for prior approval. If a resort staff member notices a problem, an incident report will be filed and brought to the attention of the Veterinarian. I understand that our boarding incident exam fee is $56.70 Monday – Friday 8am – 6pm & Saturday 8am-12pm. $187.00 after business hours or weekends if we need to call a doctor into the building, and any further treatment and/or diagnostics will be my financial responsibility. If you need an estimate of charges, one can be provided upon request.

In the best interest of my pet, it is not possible to leave some problems untreated until I return. The veterinary staff will contact me to discuss my pet’s treatment. In the event the veterinary staff is unable to reach me, my pet will receive conservative treatment, or that which is in the best immediate interest of my pet until I am able to be reached to authorize further care. Examples of problems that cannot be left untreated and require medical attention are, but not limited to, urinary abnormalities, diarrhea, vomiting, not eating, not defecating, excessive anxiety, wounds incurred at Doggie Daycare, wounds incurred from suite destruction, and coughing.

CONTAGIOUS DISEASE(Required)

I certify that my pet has not been coughing, gagging, sneezing, vomiting, having diarrhea, and is free of nasal discharge associated with infection in the past 48 hours. I also know my pet has not been around any other pet that has been showing these symptoms in the last 2 weeks. I understand that RCPH takes the utmost care in cleaning and disinfecting the facility. Therefore, the hospital reserves the right to refuse patients who are coughing or showing signs of upper respiratory infection from being boarded, sometimes with no notice. I understand that RCPH is not to be held responsible if my pet(s) contract contagious diseases during their stay; including but not limited to: Kennel cough, intestinal parasites, and/or external parasites (fleas and ticks).

BATHING/FLEA CONTROL(Required)

I understand that if my pet is scheduled to have a bath and my pick-up time or date changes, a 24-hour notice must be given, or RCPH cannot guarantee the bathing/grooming service requested can be performed. I understand that my pet must be free of fleas and ticks during their stay. All pets are checked for fleas and ticks upon arrival. If my pet has fleas, a Capstar will be given at my expense. If my pet has ticks, a Bravecto will be given at my expense.

PERSONAL ITEMS(Required)

I understand that any personal items that are brought in with my pet need to be brought with the understanding that they could be damaged while at RCPH, and we are not to be held responsible. I understand that if my pet(s) are observed showing destructive behavior to any personal items, that those items will be removed from the kennel for the duration of my pet(s) stay. Any large items that may become wet or soiled during my pets’ stay may not fit into our washing machine. These items will be bagged and returned to me unwashed. My pets’ toys will not be allowed out in the daycamp area.

RELEASE OF LIABILITY(Required)

I hereby consent to and authorize RCPH to receive and board my pet(s). I understand the resort will use all reasonable precautions for the safekeeping of the described pet(s), but the resort will not be held responsible in any manner whatsoever on account of medical situations that may arise, as it is thoroughly understood that I assume all risks. I also understand that resort personnel are not present continuously after normal business hours. I hereby certify that I have read and fully understand this authorization for boarding my pet at Rogers County Pet Hospital. I assume financial responsibility for all charges incurred to the above pet(s) and agree to pay all such charges at the completion of this stay.

BOARDING PICK UP DATES(Required)

I agree that I, or an authorized agent of mine, will pick up my pet and pay for all accrued charges on the scheduled pick-up date. I will call if my pick-up date changes so you can plan accordingly. If I neglect to pick up my pet within 3 days of the date scheduled for discharge, and do not notify you within those 3 days, you may assume that the pet is abandoned and are hereby authorized to release the pet to be adopted as you deem best and/or necessary.

If any problem is observed or develops while your pet(s) are here, we will always do our best to contact you or any authorized agents. In the event that we cannot reach you or any authorized agents, how would you like us to care for your pet(s):

PLEASE SELECT ONE FROM THE FOLLOWING

Please treat my pet in any way deemed fit by the Veterinarian on duty

Please perform the recommended diagnostics and/or treatments so long as the additional amount does not exceed (Even if you cannot reach me or additional contacts)

Do NOT perform any diagnostics and/or treatment until I or additional contacts are notified and consent for you to evaluate and treat as recommended.

Not Exceed $(Required)

There may be an additional fee for pets deemed aggressive or requiring extra caution or care during the boarding period.

All requirements and fees are for the protection of your pet, the animals boarding here, and our staff. These terms are non-negotiable, and we reserve the right to deny our boarding services upon refusal of these terms.

Owner / Agent Signature

Date