New Client Pet Boarding and Day Care Form

  • Primary Contact Information

  • Secondary Contact Information

  • Pet Information

  • ALL PROFESSIONAL FEES ARE DUE AT THE TIME OS SERVICES RENDERED. We accept cash, local checks, Master Card, Visa, Discover, American Express, and CareCredit. There will be a service charge, as allowed by law, for any check returned unpaid and on any unpaid balances that are 30 days overdue. We also reserve the right to charge a Statement Handling Fee on any accounts that are not paid in full at the time of services rendered. To prevent the spread of infectious diseases, all hospitalized and boarded patients must be current on all vaccines and free from internal and external parasites. Your signature below authorizes this level of preventive care and the appropriate charges will be assessed in the discharge invoice.*
  • Date Format: MM slash DD slash YYYY