Client and Pet Information
Dates of Visit (required) Estimated Pickup Time (required) Pet Name (required) Pet Species & Breed (required) Sex (required) Color (required)
Fees Per Calendar Night
Based on Species and Weight Note: "client" refers to those who pursue regular, routine veterinary care at Stream Valley Veterinary Hospital; "non client" refers to those who may pursue grooming, boarding, or daycare at Stream Valley Veterinary Hospital, but NOT regular, routine veterinary care. Cats $27 per night - client / $32 per night - non client Small Dogs (<30 pounds) $32 per night - client / $37 per night - non client Medium Dogs (31-60 pounds) $34 per night - client / $39 per night - non client Large Dogs (>60 pounds) $36 per night - client / $41 per night - non client Exotics and Pocket Pets Please contact us for specific boarding and pricing information for pets other than cats and dogs.
Medication Administration Fees
Will your pet require medication during his/her stay? (required) Yes No Fees per dose: Medication administered once daily: courtesy. Medication administered twice daily: $5.25 per day in addition to above fees. Medication administered greater than twice daily: $8 per day in addition to above fees. Medications - Complete this Section with Care We believe every guest has the right to receive prescribed medications as directed by the doctor and owner. These medications will be administered under the direction of a doctor and licensed technician. They will be recorded in the patient's record and hospital treatment logs. Medications taken from hospital supply will be charged for, in addition to treatment fees above. All medications must be marked with a dispensing label by the prescribing veterinarian, or in the case of nutraceuticals (vitamins, joint supplements, etc.) be presented in the manufacturer's labeled container; if any medications or supplements are unmarked, we reserve the right to forgo their administration altogether, or replace them with a prescription dispensed from our hospital pharmacy.
Please provide your pet's medication regimen below: Medication Name Dose/Strength Frequency (times/day) Schedule (certain time of day) Last Dose Given (date/time) Source of Medication Provided by client Dispensed from Stream Valley pharmacy supply Medication Name (2) Dose/Strength Frequency (times/day) Schedule (certain time of day) Last Dose Given (date/time) Source of Medication Provided by client Dispensed from Stream Valley pharmacy supply Please describe any additional medications and doses here:
Special Medical Needs Fees
Guests with Special Needs We are happy to provide additional bedding, increased walks, specialized medication administration, increased medical team monitoring, and more for pets with special conditions and needs. Such care is given at a cost of $18 per day, in addition to above fees. Please indicate the nature of any special needs: Diabetes Heart Disease Epilepsy Orthopedic Other (specify below) Specify other Special Needs:
Select a diet for your pet's stay (no difference in fees): (required) Client-provided food Stream Valley Kennel food How much and how often should we feed your pet? (required)
Please describe any other services you would like us to provide: Would you like us to examine your pet? For what reason? Note: Any animal who is new to our facility will be given a pre-boarding exam at a cost of $42. Any pets requiring medical/preventive services should receive an estimate specifying the type and cost of accompanying examination.
Additional Information and Requirements
Current Vaccinations- We believe every guest has the right to be protected from infectious and contagious diseases. All patients must have current vaccinations. If vaccines and tests are not on record and proof of same is not provided, these services will be performed at pet owner's expense (you should receive an estimate for these services). Please visit the "Protocols" link above for more information about required medical services. Please select which services we should provide to your pet: Rabies Vaccine Distemper Vaccine Bordetella Vaccine Canine Influenza Vaccine Heartworm Test FELV/FIV Test Fecal Exam Parasites- We believe every guest has the right to be free of external (fleas, ticks, and mites) and internal (worms) parasites. If your dog or cat is not on flea prevention, it will be administered during stay at pet owner's expense. If your pet has not had a Fecal Exam (negative result) or Heartworm Test (for dogs) within the last 12 months, we will test your pet at pet owner's expense. If your dog is not on heartworm prevention, we will test and provide prevention at pet owner's expense. If testing reveals infection, treatment will be prescribed as appropriate and you will incur additional fees. Is your pet on flea prevention? (required) Yes No Is your pet on heartworm prevention (required for dogs)? (required) Yes No Would you like us to administer and/or dispense preventive? If so, what type? Personal Items- Every guest has the right to clean, comfortable housing. All leashes and collars should be removed. We cannot be responsible for items left with the pet. Has your pet been known to chew up bedding? (required) Yes No May we provide a blanket? (required) Yes No Baths- Every guest has the right to be clean during boarding stay. We will make every effort to keep pets clean; however, if they become soiled, they will be bathed at pet owner's expense. Every guest staying longer than five (5) nights will be required to have a bath before going home. You may request a kennel bath or grooming during your pet's stay. Bathing Request (please double-check above est. pickup time): Kennel Bath (with courtesy nail trim) Professional Styling (recommended for all long-hair dogs; 15% off with boarding stay) Emergency Services- It is our responsibility to provide emergency treatment should the need arise. We will contact you (if possible) if the problem is serious; if a minor problem, we will treat according to the best interests of the patient. Fees for emergency services will be due at the time of check-out. Please acknowledge that you have read and understand Emergency Policy (required) I understand Playtime- You may request group playtime. Our kennel attendants may combine your pet with others of like temperament in attended playtimes. I request and authorize group playtime for my pet: (required) Yes No I understand that there is a risk of injury during playtime: (required) I understand Not applicable (no playtime) Disclosure Statement- This facility is NOT staffed 24 hours a day. Our medical staff is on the premises 6 days a week and kennel assistants 7 days a week. Any special care that is required after hours must be arranged ahead of time and will be administered by the veterinarian on call (please note in above "Special Medical Needs" section). Please acknowledge that you have read and understand Disclosure Statement (required) I understand Payment- I agree to pay for all services in full when my pet is released from the Hospital. Note: We will gladly provide an estimate upon request. Please acknowledge that you have read and understand Payment Policy (required) I understand Cancellation Policy- We require a $50 (per pet) deposit for all boarding reservations, which will then be applied to your invoice total at the end of the boarding stay. This deposit is refundable if you personally notify our reception team of your cancellation at least fourteen (14) days prior to the start of your reservation. Please acknowledge that you have read and understand Cancellation Policy (required) I understand Delay Policy- Please drop off or pick up pets at least 15 minutes prior to business closing. A delay fee may be applied if our staff is held past closing time. Please acknowledge that you have read and understand Delay Policy (required) I understand Is there anything else that you would like us to know for your pet's stay?
Pet Owner Acknowledgement: I have read the above conditions; I understand and agree to them. If I neglect to pick up my pet within seven (7) days of the end date of my boarding reservation, Stream Valley Veterinary Hospital shall assume that my pet is abandoned and is hereby authorized to place the pet as deemed necessary. I understand that this does not release me from the incurred charges.
By typing my name below, I give my electronic signature to authorize this Kennel Boarding Agreement. Electronic Authorization "Signature" (required)