Please complete all form fields and click submit to send the form information to us. Your boarding appointment is not confirmed until you hear from us. If this is your first visit, please also fill out the new client form.

Owner Details

*Your Name
 Best contact method for confirmation
EmailPhone
Street Address
City, State, Zip
*Phone
 *Email
Emergency Contact Name
 Emergency Contact Phone

Pet Details

Pet Name
 Breed
 Species
DogCatOther
Dogs staying for 5 nights or more may receive a courtesy cleansing bath the morning of departure. They will be dry and ready to pick up AFTER 2 PM. Do you want a courtesy bath for your dog and understand this is a deodorizing bath and not a full grooming?
YesNo
Dogs staying less than 5 nights can have a cleansing bath for an additional $43.50. They will be dry and ready for pick up AFTER 2PM. Do you want a cleansing bath for your dog and understand this is a deodorizing bath and not a full grooming?
YesNo
Please list any health concerns:
 Please list any medications that need to be given:
We feed an easily digested prescription diet each morning and evening. If your pet requires another diet, please bring it with you.
How often do you feed your pet?
MorningEveningBothOther		 Please specify if other

Appointment Details

Are you a new client?
YesNo		 Are we seeing this pet for the first time?
YesNo
Admission Date
 Discharge Date

Please be advised, if fleas are present at the time of admission, a flea treatment will be completed at the owner’s expense. Our staff at CAH make every effort to maintain a sanitary and pest free environment. We ask that you inspect your pet for cleanliness and / or fleas PRIOR TO LEAVING THE HOSPITAL BUILDING at discharge. Pet carriers and automobiles can harbor fleas – therefore, CAH will not accept responsibility for fleas found once your pet has been discharged and left our care.

Simple changes in food, water and your pets’ environment can sometimes cause diarrhea. If a simple stress related diarrhea occurs, our veterinarians may perform an exam and prescribe a diet change or medications, for which there may be additional fees.

If a serious medical problem occurs during your pets’ observation period, we will attempt to reach the emergency contact referenced above. However, an examination will be performed and necessary treatment may be provided within the scope of sound medical judgment.