UPDATED COVID-19 PROTOCOLS

We are currently offering both curbside and in-hospital appointments. When you arrive, please park in a spot without a cone. There will be signs with phone numbers to call or text to let us know where you are parked. A staff member will contact you shortly with further instructions. We appreciate your patience and cooperation as we get through this time together.

Boarding Consent Form

APPOINTMENT

We’re Excited To Have Your Pet Stay With Us

Please complete the form below before your visit! We will be in touch if we have any questions prior to your appointment.

Client Name *

First

Last

Alternate Contact Name

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Alternate Contact Phone

Patient Name *

Species *

Sex *

Color

Was your pet fed and/or medicated today? *

Feeding: Amount and How Often?

Are you bringing food or using our House Low Fat EN? (At no additional charge.) *

I'm bringing food.
My pet will use the House Low Fat EN.

Medication instructions

Personal Belongings

Bath, groom, or additional services?

**Have you made an appointment with us? Please call us now for availability! 910-313-3326**

**Drop Off and Pick Up MONDAY - FRIDAY 7:30am-6pm and SATURDAY 8am -12pm ONLY!!**

Drop Off Date

Pick Up Date

Approximate pick-up time?

Requirements for boarding at MGAH:

Dogs must be up to date on the following:

Current Exam
Rabies Vaccine
DHPP Vaccine
Bordetella Vaccine
Negative Fecal and Heartworm Test
Monthly Heartworm Prevention

Cats must be up to date on the following:

Current Exam
Rabies Vaccine
FVRCP Vaccine
Negative Fecal or Profender Application

** If fleas and/or ticks are noted on admission, your pet will be treated to eliminate the parasites at the owner's expense.**

I, the undersigned, request boarding of my pet(s) listed above. During this time, I will be reachable at the above-listed telephone number(s). If I am not reachable, please call my alternate contact person to assist in any decisions to be made regarding emergency treatment. In the event that I am not reachable, I authorize Myrtle Grove Animal Hospital to respond to any emergency situation that may arise with my pet(s), and I will be responsible for any fees incurred. If a non-emergency health concern is identified during boarding, I agree to allow one of the doctors at Myrtle Grove Animal Hospital to examine and treat the condition, and I will be responsible for any additional examination and medication fees incurred. I understand that my boarded pet is exposed to other animals and is at risk for potential infectious diseases. I also understand that MGAH is not staffed continuously during overnight and weekend hours. I also understand that boarding rates apply to 24 hour periods or any part of 24 hours.

Signature *

Date *

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