Meadow Hills Veterinary Center, P. S.
Boarding Contract

8802 W. Gage Boulevard ~ Kennewick, Washington 99336 ~ (509) 783-0399 		Client ID ____________

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Pet's Name: It is a: Altered? Age:
Dates: Admission- Discharge- Articles Left:
Owner's Name: Home Phone:
Health problems of pet:
Medication (please include name of medication, times to be given and dosage)
Emergency contact: (list a telephone number where we can reach you or the name of a person who can make decisions regarding your pet in your absence.)   Name: Phone:

Vaccination Dates:
Dog: DHLPP-C: Bordetella: Rabies:
Cat: FVRCP: Rabies:

Accommodations: (Please Initial)
Diet: Initial:__________

Additional "Special" Service (Please Initial)
_______ Nail Trim - $16.75
_______ Medication Fee - $4.00/Day Minimum
_______ Cleansing Bath - $15.00 Short-coated breeds only
Pets who stay 7 days or more get a free cleansing bath.  Short coated breeds only

Tender Loving Care Package Cost $7.00      # of Times________
Package Includes: Brushing Coat and Teeth
15 Min Extra Hand Walking or Play
Extra Tender Loving Care
Extra Attention

I hereby authorize Meadow Hills Veterinary Center, P.S. (MHVC) to board my dog/cat for the period of time noted above. MHVC agrees to provide a clean kennel or run for my pet and regular feeding as requested. Dogs will be exercised daily. If emergency veterinary care should become necessary for my pet, I authorize MHVC to provide the veterinary care required and agree to reimburse MHVC for all charges so incurred at the time my pet is discharged.

_____________________________________        ___________________
Name
  
Date

In consideration of Meadow Hills Veterinary Center, P.S. accepting my pet for boarding, I do hereby release, discharge and waive claims, demands, and/or actions against MHVC, its agents, employees, officers and insurers arising from or relating to injury, illness or death that may occur during the period of boarding.
Initial:

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