Daycare Form | Vintage Heights Veterinary Hospital

Date

Name

First Last

Pet's Name

At the time of pet check-in, DOGS are required to be current on the following vaccinations :

Distemper/Parvo ($85.20)
Bordetella ($24.75)
Rabies ($24.75)

At the time of pet check-in, CATS are required to be current on the following vaccinations :

PRCC ($85.20)
Rabies ($24.75)

Is your pet on medication that we need to administer while here?

Yes
No

If YES, please list medications and when they need to be given.

* Sometimes animals experience stress and separation anxiety, which may cause diarrhea, loss of appetite, and/or sore throat. Owners will be charged for treatment and medications needed for reasons not directly under control.

* Fleas/Parasite policy : Your pet must be current on approved heartworm, flea, and tick preventatives while staying in our facility. If your pet is not current, we will perform necessary tests to prescribe appropriate preventatives/medications. This is necessary to prevent the spread of fleas, ticks and worms in our hospital. * Toys and Bedding will be labeled with a permanent marker for identification. We will not be responsible for items left with your pet.

I agree & understand

Special feeding instructions while in our facility?

Other special instructions?

Would you like any of the following for your pet during their stay with us?

Heartworm Check ($85.20)
Nail Trim ($21.50-$27.50)
Express Anal Glands ($28.88)

Please read below.

*If your pet is not picked up by close of business, you will be charged full boarding rates. *Vintage Heights Veterinary Hospital screens dogs for temperament, watches the dogs carefully, and does not take seemingly aggressive dogs out with other dogs. Pet daycare can be hazardous due to unfamiliar dogs playing together. It is important that you are aware and understand that there are risks involved with group play, including but not limited to injuries. Does your pet play well off leash with other dogs?

Yes
No

If YES to the above question, do you wish to involve your pet in group play?

Yes
No

Daycare days must be prepaid and scheduled at the time of purchase. No shows or cancellations may not be rescheduled and the fee for that day is forfeited. Daycare services are avaialable Tuesday-Thursday ONLY. To ensure proper care of your pet while in our facility, we require your pet to be a patient of our hospital. All medical services must be performed here. Annual exams by a veterinarian at Vintage Heights are required.

I understand & comply

Please provide an emergency phone number.

Please list the daycare dates you have scheduled.