Canine Boarding Form

ANIMAL CLINIC OF WALLA WALLA

2089 Taumarson Road
Walla Walla, WA 99362
Phone (509) 525-6111 Fax (509) 525-6102
info@animalclinicww.com

Bret K. Smith, DVM
Alexandra Colton-Ashcraft, DVM
Daniel Prendiville, DVM

Date(Required)

Pet’s name(Required)

Owner’s name(Required)

Phone Number

Additional Contact Info

What is the start and end date that your pet will be boarding?

Start Date

End Date

If your pet is not up to date on their vaccinations we will administer them. There will be an additional charge for an examination.

Initial

If your pet is not up to date with flea treatment we will administer either Revolution topically or Simparica orally. There will be an additional charge between $49.46 and $74.26.

Initial

Have you recently been traveling outside of Washington State with your pet?

Yes

Does your pet have a history of seizures?

Yes

If you would like your pet’s nails trimmed, Anal Glands expressed, or a Bath given.

Nail trim charge is $36 for this request.

Yes

Initial

Anal gland expression charge is $46 for this request.

Yes

Initial

Bath charge is $52.50- Pet will be given a bath day before departure.

Yes

Initial

If treatment is needed for your pet during their stay or shows significant signs of anxiety/aggression deemed treatable by a Veterinarian we will treat accordingly. (Please initial that you understand)

Initial

Is your pet on any medication?(Required)

Yes

What medication, what dose and how often?

If once daily medication, when was the last dose given?

Did you bring your pet’s own food?

Yes

How often does your pet eat? (ie: twice daily / free feed)

What type of food does your pet eat? (ie canned / dry / both)

How much of each food do you feed your pet per meal / per day? Please be specific.

Please list any items you brought for your pet. (Items not allowed: toys, bones, bedding, bowls, etc.)

Signature(Required)

Animal Clinic of Walla Walla

ANIMAL CLINIC OF WALLA WALLA

What is the start and end date that your pet will be boarding?

If your pet is not up to date on their vaccinations we will administer them. There will be an additional charge for an examination.

If your pet is not up to date with flea treatment we will administer either Revolution topically or Simparica orally. There will be an additional charge between $49.46 and $74.26.

If you would like your pet’s nails trimmed, Anal Glands expressed, or a Bath given.

If treatment is needed for your pet during their stay or shows significant signs of anxiety/aggression deemed treatable by a Veterinarian we will treat accordingly. (Please initial that you understand)

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