Thank you for giving us the opportunity to care for you pet(s). Please help us meet your needs better by taking a moment to 'share some important information we will need as we support your pet's needs today and in the future.
Client Last Name*
Client First Name*
Client Primary Phone Number (Home)*
Client Primary Phone Number (Cell)
Client Email*
Alternate Emergency Contact Name and Number*
Pet Name* Breed* Weight (lbs)* Age*
Sex* MFMNFS
At MVH, we feed Hill's Science Diet Sensitive Stomach. We will gladly feed food brought from home at no additional cost. Please indicate type of food to be fed and specify whether your pet eats dry food only, canned food only, or both and how many times a day.
Source of Food: KennelOwn Food
Type of Food Dry (cups) Canned Times/day Treats/day
(Medications must be in original containers)
Medication Dose Frequency (every 12 hours, am or pm only) Next dose Additional medications/instructions
Select each additional service you would like while your pet is boarding with us: Nail TrimSpa DayExpress Anal Glands
Brush every _________ No brushing needed1 day2 days3 days4 days5 days6 days7 days
MVH provides bedding to all pets during their stay free of charge, however any unclaimed belongings left longer than 10 days will be disposed of after a sincere effort has been made to notify clients of the items. MVH is not responsible for any items left with your pet. Please list belongings on the line below:
Belongings*
1. Dogs must have current Rabies, Distemper, and Bordetella vaccinations, blood parasite screen, and a negative fecal within the past year. Cats must have a current Rabies, FVRCP, a negative fecal within the past year and have been tested for FELV/FIV.
2. MVH is a "flea free" facility and in order to maintain this, each pet boarding will be checked for fleas. If fleas are found, your pet will recieve a Capstar tablet and flea/tick preventative at an additional expense covered by the owner.
3. If the pet is to be picked up by someone other than the owner, arrangements and payment must be made prior to discharge.
Agreement* I have read and agree to the Manlius Veterinary Hospital Boarding Policy and Terms above.
Signature*
* = required
