Owner Information

First Name: *

Last Name: *

Email: *

Phone Number: *

Emergency Phone Number: *

Address: *

Secondary Contact First Name:

Secondary Contact Last Name:

Secondary Contact Email:

Pet Information

Pet Name: *

Breed: *

Date of Birth: *

Age: *

Color: *

Sex: *

Date of Last Vaccinations

Fill in the date of your pets last vaccination and lab work. All new clients and boarders require proof of up-to-date vaccination status before being accepted into our facility.

Rabies Booster (Canine & Feline):

Bordetella (Canine):

DHPP (Canine):

Leptospirosis 4-way (Canine):

Canine Influenza (Only required during known outbreak):

Fecal Exam (Canine & Feline):

FVRCP (Feline):

Boarding Information

Drop Off Date: *

Pick Up Date: *

Upon departure every pet will receive a kennel bath. If you wish to upgrade your service, please select from the options blow.

Upgraded Services: *

Grooming

Spa Pkg

HO

BT

BB Facial

Med Bath

No Upgrade

Groomer: *

Pick Up Time: *

Suite Type: *

Please note that the additional playtime add-on option is available for pet's staying in a run.

Additional Playtime *

Yes

No

Feeding Instructions *

Menu

Own

Allergies: *

Own Food - Brand:

If you are bringing your pet's food, please describe the container:

Further Feeding Instructions: *

Okay to give Menu if needed? *

Yes

No

Pet Medication

If your pet is currently taking any medication including supplements, please give details below. Please note there is a fee for medication adminstration. Please talk to us for more information on pricing.

All medication must remain in their original labelled containers

Please provide medication name, dosage, administration instructions

Refill? *

Yes

No

Current Flea Prevention: *

Refill? *

Yes

No

Current Heartworm Prevention: *

Refill? *

Yes

No

Belongings/Carrier Description: *

Other Notes: *

Upload your pet's vaccine records or other pertinent veterinary information

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Our Vaccination Policy: To ensure the protection of all pets in our care, the following vaccinations/tests must be current.
Canine: Rabies, Distemper, Parvo, and Lepto are required yearly and Bordetella & Fecal (Neg.) are required every 6 months.
Feline: Rabies, FVRCP (Feline Distemper), and Fecal (Neg.) are required yearly.

Medical Illness Policy: *

Please perform whatever services the doctor deems necessary for the best care of my pet until someone can be reached. This included only non-elective treatments and any diagnostics in an emergency situation.

Do not administer any medical treatment until specific authorization is given.

No personal items such as bedding, toys, collars, or leashes are allowed to be left with your pet. Pets can be picked up on Sunday between 2-4pm for an additional $20.50 charge. Pets cannot be picked up on holidays or after regular business hours. NO EXCEPTIONS. If your pet comes into the hospital with internal or external parasites, they will be treated at an additional fee. If your pet is not picked up within 5 days of the scheduled pick up date and no additional arrangements are made, East Orlando Animal Hospital may assume that your pet is abandoned and I herby authorize my pet to be cared for in the manner East Orlando Animal Hospital deems best and necessary.

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Boarding Check-In Form

Owner Information

Pet Information

Date of Last Vaccinations

Boarding Information

Pet Medication

Caring for Pets in Orlando