Boarding Agreement | Allentown Cat Clinic, PC

"*" indicates required fields

Date

Client Name*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Boarding Period*

*For your cat's safety, please note all cats must be in a carrier at drop off.*

Pet Name*

Breed*

Sex*

Color*

Date of birth*

Dietary Needs (Please include type (canned or dry), brand, flavor, amount and frequency given. Being as specific as possible helps avoid tummy upset.)*

Are any medicines necessary while boarding?*

If yes, medications must be in the original veterinary labeled container with instructions for administration. Give names of any medications, the dosage to be given and the last time they were given

1. All cats boarding with us MUST be up to date on their vaccinations. If vaccines were given elsewhere, proof of vaccination is required one week prior to boarding. If you are currently a client of Allentown Cat Clinic and your cat has been vaccinated for the prior two years and is currently due, we will vaccinate during the cats stay. There is an examination fee charged along with the vaccine fees.

Boarding is charged by the evening. For cats that are not currently our patients, we will require the owner to pay the total of days boarding, upfront, with cash or a credit card only.

2. It is understood that your cat will be fed and properly housed in sanitary and safe conditions. If requests for special services are made, we will consider them and additional fees would then apply.

Reasonable precautions will be used to prevent injury, escape or death of this cat. This clinic and staff will not be held liable for problems that develop provided reasonable care and precautions are followed. Personal items may be left at your own risk. We are not responsible for loss or damage.

3. All cats must be free of external parasites (ex. ticks, fleas, etc.), or they will be treated at owner's expense. We will comb your cat for fleas at the time of admission.

4. You understand that any problem that develops with your cat will be treated as deemed necessary by the Doctors and staff of Allentown Cat Clinic, P.C. (IN EMERGENCY SITUATIONS, YOUR CAT WILL BE TRANSFERRED TO EASTERN PA VETERINARY MEDICAL CENTER) and you assume all responsibility for the treatment expenses involved. A reasonable attempt will be made to contact you prior to providing treatment, however, in the event you or your emergency contact cannot be reached, treatment will be provided. YOU FURTHER UNDERSTAND THAT STAFF IS NOT PRESENT DURING NON-OFFICE HOURS.

5. If your cat is transferred to Eastern PA Veterinary Medical Center due to an emergency, you AGREE to authorize said facility to perform life saving surgery.*

Agree

6. If you neglect to contact Allentown Cat Clinic, P.C. or pick up the above noted cat within 5 days after the scheduled pick-up date, and having received a written notice of failure to pick up, we will assume the cat is abandoned and handled in accordance with state law, and that doing so does not relieve you of your financial obligations.*

Agree

Allentown Cat Clinic has my permission to post my cat on social media*

Yes

Signed by:*

Input full name.

Emergency Contact & Phone*

Designated Representative & Phone (If the emergency contact cannot be reached)*

If emergency contact cannot be reached, designated representative will be contacted for medical decisions

FOR STAFF USE ONLY: ADMITTING STAFF INITIALS _____________ FLEA COMB RESULTS/TREATMENT: ____________________________________________ STAFF INITIALS_____________