Boarding Information Form

    All pets must be current on vaccinations in order to board at Cheyenne West Hospital 
    All pets must have a negative fecal test with the past year.
    If yes, list medication name, strength, daily dosage, and when last given:
    Example: Famotadine 20mg - Give 1 tablet twice daily.
    PLEASE NOTE:  ALL MEDICATIONS AND SUPPLEMENTS NEED TO BE IN THEIR ORIGINAL CONTAINER. MEDICATIONS NOT IN THEIR ORIGINAL CONTAINERS WILL NOT BE ACCEPTED.
    We do offer baths to dogs while they are here. A bath is complimentary after four consecutive nights of boarding. We apologize, but we cannot accommodate complimentary baths around holiday boarding times.
    If you refuse treatment, this may lead to serious health problems, or even death, in some cases.
     Please call our office if you cannot pick-up your pet on the scheduled pick-up date.  Space is limited and we cannot always accommodate extended stays. Failure to call will result in an additional $6.00 per pet per night charge. I further understand that all boarding fees are per pet, not per cage.

    I am the owner or agent for the pet(s) described above and I have the authority to execute this consent.   I fully understand that I assume all risk while boarding my pet(s) . A hospital staff member has explained to me that the hospital is not staffed with personnel overnight.  The hospital and staff will not be held liable for any problems that develop provided they have taken all reasonable care and precautions against injury, escape or death of my pet(s).  This is to certify that I have been informed of and agree to the policies regarding boarding including vaccinations and all associated costs as the hospital staff has explained them to me. I am the owner or agent for the owner and I have the authority to execute this consent.

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