Feline Boarding Agreement | Bethesda, MD Vet Care

Pet Name(Required)

Pet Age(Required)

Pet #2 Name

Pet #2 Age

Name

First Last

Phone

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Emergency Contact(s.) Please include name, number, and email.(Required)

Feeding Instructions (how much & how often)(Required)

Is Your Pet On Any Medications?(Required)

Yes

If yes, list medications & reason for giving(Required)

Please bring all medications in their original packaging / vial with prescription label attached. Please include medication instructions.

Does your Pet have any underlying health conditions? If yes, please describe.(Required)

Please Note: Kenwood Animal Hospital reserves the right to refuse general boarding to any animal deemed unfit to be in the general population due to illness, injury, or underlying condition(s).

Special Instructions

Items Brought(Required)

Grooming: Nail Trim before pickup ($33)(Required)

Yes

Primary Veterinarian Name:(Required)

All animals are examined upon entry. If a problem is detected, please choose ONLY ONE from the following treatment options :(Required)

Treat as needed during the procedure, according to the necessity and as advisable in the professional judgement of the veterinarian

I pre-authorize treatment as needed during the procedure, without contacting me first, up to the amount indicated below.

I do not pre-authorize any procedure(s) in addition to the original estimate.

If yes, please describe:

Drop Off Date(Required)

Pick Up Date(Required)

Upload Records

Drop files here or

Max. file size: 128 MB.

I understand that charges are as follows:

Cats: $34/per night
Price change for the feline boarding will be effective as of 1/1/2025.

In the event of an emergency, every reasonable effort will be made to contact the owner or emergency contact person. I consent to any and all treatment deemed necessary, including transportation to an emergency facility, and agree to be responsible for the charges incurred. I understand that Kenwood Animal Hospital is equipped with fire/flood detection & protection systems. I understand that all reasonable precautions will be used against injury, escape, or the death of my pet.

Signature(Required)

Date(Required)

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