Thank you for choosing us!

Boarding Consent Form

Please fill out the following form before your scheduled appointment.

We look forward to seeing you!

Thank you for choosing Cooper Veterinary Clinic! Please fill out the following form to the best of your ability before your scheduled appointment. If you have any questions, please feel free to call us at 806-687-0687. If you would rather print and fill out the form at home, please click the button below.

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Boarding Consent Form

Owner's Name *

First

Last

Phone Number *

Email *

Pet's Name *

I am the owner for the pet(s) listed above and have the authority to execute this consent. I hereby consent and authorize Cooper Veterinary Clinic to board the pet(s) listed above and to medicate if needed. If my pet(s) listed above is/are found to have fleas or ticks they will be treated with Bravecto (dogs) or Revolution (cats), which will be at my cost.
REQUIREMENTS FOR BOARDING:

Proof of current vaccine status must be provided.
Dogs: Rabies, DA2PP (both within the past year) and Bordetella (within past 6 months).
Cats: Rabies, FVRCP (both within the past year). Leukemia is recommended but not required.

If vaccines are not current or proof of vaccinations is unable to be verified, they will be administered at the time of drop off.

All dogs that are boarding are let out into our backyard to use the bathroom. Pets from different families ARE NOT put out together and pets from the same family can be put out separately if requested. Please be advised that depending on the weather your pet may get dirty while outside.

Check-In Date/Time *

Date

Time

Anticipated Pick-Up Date *

(Boarding charges run from midnight to midnight)

MEDICATIONS: (An additional $3.00 per day for up to 2 medications, $5.00 per day for 3 or more medications is assessed. Insulin injections using owner supplies are $5.00 per day).

Indicate (Medication/Dose of Form/Dosage/How Often)

Food Type *

Owner's Food
CVC Food

Special Diet? *

Indicate Feeding Schedule

How much/How often

List any vaccines, procedures, etc. your pet needs or you wish to have performed while they are boarding

**COOPER VETERINARY CLINIC PROVIDES BEDDING, BOWLS, ETC. WE DO NOT ACCEPT PERSONAL BELONGINGS** *

Clear Signature

Sign here

Date *

Emergency Contact Person/Number (It is imperative that we have a reliable phone number to reach in case of an emergency) *

Thank you for choosing us!

Boarding Consent Form

We look forward to seeing you!

Boarding Consent Form

If vaccines are not current or proof of vaccinations is unable to be verified, they will be administered at the time of drop off.

Address

Emergencies

Email

Phone

Hours

Have a Question?

Stay connected with your pet's health.

Thank you for choosing us!

Boarding Consent Form

We look forward to seeing you!

Boarding Consent Form

**If vaccines are not current or proof of vaccinations is unable to be verified, they will be administered at the time of drop off. **

If vaccines are not current or proof of vaccinations is unable to be verified, they will be administered at the time of drop off.