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Animal Health Care Center


11055 County Line Road
Madison, AL 35758
       (256) 461-8440

"Your pet's health is our primary concern."




Boarding E-Mail Form


Just fill out this form and click the "Submit" button to e-mail it back to the office of Animal Health Care Center for your pet's boarding stay with us. If you have more than one pet staying with us, please fill out one form for each pet. To return to the Boarding facilities page, just click here.


Your Name:
Pet's Name:
Drop Off Date:   Pick Up Date:     AM     PM
Would you like your pet to have a bath or haircut on the day they go home? NOTE: A "haircut" includes a bath, and it involves just shaving all the hair off, by a vet assistant--we DO NOT have a groomer on staff who can do specific styles or cuts.

Yes, I'd like my pet to have a:      Bath     Shavedown

No, I do not want my pet groomed:  
Would you like any treatments done to your pet while he/she is here (i.e., vaccinations, nail trim, anal glands expressed)?
Do you have any feeding instructions for your pet?
Do you have any other special instructions for your pet (medications to give, etc.)?
Items bringing in with pet (collars, leashes, food, treats, toys, bedding, etc.):

Please specify the area in which you would like your pet boarded . . .


For Dogs: For Cats: 
Cage (for dogs weighing under 60 pounds ONLY!)

Run

Luxury suite		 Cage

Luxury Condo


Would you like your pet to receive any of these special boarding options? Please check box(es) . . .

For Dogs:		 For Cats:

Private Playtime/Exercise Session = $10.00 per day (30 minute session). How many sessions would you like your pet to have:

Daily Brushing = $5.00 - $7.00 per day (depending on size of pet and mats). How many brushing sessions would you like your dog to have:
Cat Playroom Session = $7.00 per day (session last at least one hour, and cat MUST have proof of testing negative for Feline Leukemia and FIV diseases and MUST be current on the Leukemia vaccination in addition to other required vaccinations for boarding). How many play time sessions would you like your cat to have:

Daily Brushing = $5.00 - $7.00 per day (depending on size of pet and mats). How many brushing sessions would you like your cat to have:

OWNER RELEASE
  • I understand you CANNOT guarantee the health of my pet. I understand and will not hold the clinic responsible for condtions that are unavoidable in boarding kennels, such as but not limited to weight loss, hair loss, upper respiratory infections, bronchitis, diarrhea, and fleas. I understand ALL pets admitted to the clinic must be protected against communicable contagious diseases and must be free of internal and external parasites or will be treated on entry or discovery at the owner's/agent's expense.


  • I understand that in the event of my pet's illness, the staff will immediately attempt to contact me or my agent to discuss the problem and treatment options, but may not be able to contact me immediately and is therefore authorized to initiate appropriate treatment until myself or my agent can be reached.


  • If any problem is observed or develops:

    Please treat my pet as required, you need not call me to gain permission first. NOTE: You, the owner, will still be notified ASAP of any problems.
    Perform only emergency and supportive care. Notify me for permission to begin any other treatment.


  • Should an EMERGENCY arise, I authorize the medical staff to sedate my pet and/or perform such emergency procedures as may be necessary for the health of my pet until I can be notified. I agree to pay, in full, all charges for necessary services rendered for and to my pet.


  • I understand that the clinic is not responsible for loss or damage to personal items left with the pet including but not limited to leashes, collars, toys, and bedding.


  • I understand that my pet can only be discharged during REGULAR office hours.
AGREE TO TERMS

I have read and agree to the above terms and conditions for my pet's boarding stay with Animal Health Care Center.
Date: Name and phone number of responsible party to be reached in case of emergency: