Senior Pet Medical Release

In preparation of boarding your senior fur friend, please complete the following prior to drop-off

Contact your veterinarian to discuss a course of action should your pet become ill or show signs of stress or discomfort that is affecting their health and wellness.

Ok

Choose your emergency contact person carefully. This person should be available and willing to make medical decisions on your behalf, if we cannot reach you, and transport your pet to the veterinarian or emergency care clinic if needed.

Ok

If your pet becomes ill or injured while in our care, we will contact the emergency contact person designated on your reservation form for instructions. Should your pet need to see a veterinarian.

Please check the following, per your preferences.

I want my pet to receive whatever care is needed, regardless of cost. I authorize charges to be placed on the credit card below.

I want to be consulted first on any and all emergency medical decisions for my pet.

Allow for comfort measures and/or general care only. I would like my pet to be kept pain free and comfortable. I authorize charges to be placed on the credit card below.

I authorize the emergency contact person listed below to be able to make any and all emergency medical decisions for my pet.

Do not exceed this dollar amount without my consent:

Credit Card Information

Name on Card:

Last 4 digits of Credit Card, securely on file:

Expiration:

Billing Zip Code:

Cardholder Signature: (type full name)

I understand my pet’s health and wellness is a top priority and that if the Dogs Bay management team decides during my pet’s stay, that boarding is no longer a suitable option, a Dogs Bay Pet Sitter, veterinarian or alternate arrangement will be made in my pet’s best interest.

Senior Pet Medical Release

In preparation of boarding your senior fur friend, please complete the following prior to drop-off

Contact your veterinarian to discuss a course of action should your pet become ill or show signs of stress or discomfort that is affecting their health and wellness.

Choose your emergency contact person carefully. This person should be available and willing to make medical decisions on your behalf, if we cannot reach you, and transport your pet to the veterinarian or emergency care clinic if needed.

If your pet becomes ill or injured while in our care, we will contact the emergency contact person designated on your reservation form for instructions. Should your pet need to see a veterinarian.

Please check the following, per your preferences.

Do not exceed this dollar amount without my consent:

Credit Card Information

Name on Card:

Last 4 digits of Credit Card, securely on file:

Expiration:

Billing Zip Code:

Cardholder Signature: (type full name)

I understand my pet’s health and wellness is a top priority and that if the Dogs Bay management team decides during my pet’s stay, that boarding is no longer a suitable option, a Dogs Bay Pet Sitter, veterinarian or alternate arrangement will be made in my pet’s best interest.

Pet Owner’s Signature: (type full name)

Date:

Email:

Dog's Name:

Boarding Dates:

Primary Vet:

Vet Phone:

Authorized Emergency Contact:

Emergency Contact Phone