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  • West Des Moines
    (515) 224-9747
  • Norwalk
    (515) 981-0317
  • Animal Dentistry Referral Services
    (515) 344-3776
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Family Pet Veterinary Center
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Boarding Consent Form

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Boarding Charges are per day. Additional services and special requests may have an additional charge. Any charges are the responsibility of the owner.

 

Food:

Feedings: are done twice daily unless otherwise specified. You may bring your own food or we can feed the food we provide. For dogs we give RC Canine Gastrointestinal Low Fat and for Cats we give IVet Low Fat.

Personal Items are always welcome. However, FPVC is not liable for items that may be damaged or lost during your pet’s stay. Personal items brought:
Has your pet had previous aggression?

If your pet has had any previous aggression, it must be told to us prior to their boarding stay so we can properly accommodate them while they’re here.

Required for Boarding: The following are required per species for boarding in our facility. These requirements are based on health and safety guidelines. Any items not current must be updated prior to joining the boarding population. All costs are the responsibility of the owner(s).

Canines:

  • Rabies
  • Distemper/Parvo
  • Bordetella
  • Flea Prevention
  • Negative Fecal

Felines:

  • Rabies
  • FVRCP
  • Negative Fecal
  • Flea Prevention

 

If you are a New Client or have gone to another location for Veterinary Care since we have last seen you, please provide us the name and phone number of the Clinic your pet has last seen for up to date Medical Records. 

One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Is your Pet on any Medication(s) we need to administer during their Boarding Stay?
Would you like any additional Services for your pet during the Boarding Stay?
Will your pet be up to date on Flea/Tick Prevention prior to their Boarding stay with us? If yes, please indicate the Brand and Date you administered the Prevention. If not, select no and we will include that pricing in the estimate.
Being a veterinary clinic, we have the opportunity to help your pets in ways other boarding facilities may not be able to. If any medical concerns have been noted, we may be able to help treat them while they are here. Are there any medical concerns that we should know about?
If going home After Hours, please indicate which time you will be picking up.

 

I, being the responsible party to the above pet, grant my consent to receive authorized services listed above. Diagnosis and treatment of emergencies are considered authorized unless otherwise specified on this form. I understand that all charges must be paid upon the release of my pet.

By signing below, I agree that I have read and fully understand this Boarding Consent Form.

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Family Pet Veterinary Center

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  • West Des Moines
  • (515) 224-9747
  • Norwalk
  • (515) 981-0317
  • Animal Dentistry Referral Services
  • (515) 344-3776
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