Fairfield Pet Hospital-Boarding Registration Form,dogs, cats, ferretts, rabbits, rodents, mice, reptiles, pet, vet, veterinary care Lancaster, Ohio, AAHA, American Animal Hospital Association Ann Essman, Craig Dunn,Rachel Frasure,canine, feline, exotic, pet care, pet medicine, animal medicine,veterinarian,vet clinic, vet, vet hospital

Fairfield Pet Hospital

1983 East Main St

Lancaster, Ohio 43130

740-653-7977

Office Hours

Monday 8-6:30 Tuesday 8-7:30 Wednesday 8-6:30

Thursday 8-7:30

Friday 8-6:30

Saturday 9-1

Sunday Closed

Complete Small Animal Veterinary Care for Dogs, Cats, Pocket Pets such as Rabbits, Ferrets, Mice, Rats, Guinea Pigs, Hamsters, and Gerbils.

Accredited by the American Animal Hospital Association

Fairfield Pet Hospital Inc.

BOARDING CHECK-IN FORM

(Complete and submit this form ONLY AFTER you have called the hospital to reserve your pet’s boarding dates)

Please fill out all fields marked with a red astericks (*) and any other appropriate cells; then submit this form to expedite your check-in.

*Owner's Name:

*Address:

*Telephone Number: Cell Phone:

*Pet #1 Name:

Breed :

Weight:

Color:

Pet #2 Name:

Breed :

Weight:

Color:

*Drop off date:

*Pick up date:

*Destination

*Phone Number at destination:

DIET and NUTRITION

How many times a day do you feed your pet?

We feed Science Diet dry diet which is a high quality, balanced diet. If you wish to feed something different, please pack individual labeled bags of your pet's food for each mealtime.

Vaccination Policy: I understand that in order for my pet to board, he/she must be current on his/her Rabies, Distemper (and Kennel Cough-dogs only). If you are not a regular client of Fairfield Pet Hospital, please bring your records of current vaccinations and medical care from your regular veterinarian at the time of admission. If my pet is not current I understand that they will be vaccinated on admission after receiving an examination by the doctor.

Flea Policy: I further understand that in order for my pet to board, if fleas are found they will be treated with one dose of frontline and one oral Capstar flea treatment upon arrival at the owner’s expense.

Heartworm Policy: I further understand that in order for my pet to board, if my dog is not on monthly heartworm preventative, a negative fecal parasite examination must be recorded upon arrival and treated if the animal is shedding intestinal parasite eggs at the owner’s expense..

Medications: It is very important that we are aware of any medication your pet will need while staying with us. Please list all medications along with the proper dosages (this would also include heartworm medication). If you have forgotten your medication we will gladly refill your prescription. There is an administration charge for administering medications.

Rx #1	Rx #2
Rx #3	Rx #4

Emergency Care: I give permission to Fairfield Pet Hospital Inc to provide emergency services to my pet if deemed necessary.	YES
	NO

Exercise Care: In the outdoor exercise yard enclosed by a 6 foot fence

My pet can be off leash and have unsupervised exercise time.

My pet can be off leash but must be supervised for exercise time.

My pet must be on leash at all times.

Belongings: Fairfield Pet Hospital Inc invites you to bring up to 3 of your pet's belongings that may make their stay here more enjoyable. The staff will do their best to ensure the safe return of these items, but will not be held responsible if they are damaged, misplaced or lost. Please label your possessions.

Items Being Brought:

Additional Comments:

is authorized to pick up or visit my pet.

*Owner's Email Address

Fairfield Pet Hospital 740-653-7977