Pet’s Name *

Client’s Name *

Client's Email *

Date *

Check Out Date *

Check Out Time Is At 12 pm. additional charges will apply if picked up after 12 pm. *

client initial

Emergency Contact Name *

Emergency Contact Phone Number *

Belongings *

Weight *

WE WILL ACCEPT NO RESPONSIBILITY FOR LOST OR DAMAGED ARTICLES

All vaccines must be current, with proof of vaccination from a verifiable source (veterinarian, clinic, etc.), or we will administer needed vaccinations upon admission into our boarding facility. Dogs are required to have rabies, parvo distemper, and bordatella injection vaccinations within the last year, nasal bordatella within the last 6 months. Cats are required to have rabies and feline distemper vaccinations within the last year. Dogs and cats are also required to have a negative fecal test within the last 6 months.

All vaccinations will be given after a healthy animal physical examination is performed by one of our staff veterinarians. (Charges will apply)

This is a flea/tick free facility. The staff will check your pet at check-in. If found, your pet will be treated at your expense.

Is your pet currently on flea/tick prevention?

Yes
No

Name of Flea & Tick Prevention Product

Date of Last Dose

Our facility feeds Science Diet (Sensitive) to all pets during their stay at no additional charge. If your pet is on a prescription diet or any other diet, it is recommended that you bring it in with them or it can be dispensed at regular price.

Please Explain if Diet is Own or Clinic, Adult or Puppy, and Feeding Instructions

If needed add canned food (i/d low fat):

Yes
No

Select how often:

Once daily
AM PM
twice daily
three times daily

Has your pet eaten today?

Yes
No

Will your pet be on any medications while here?

Yes
No

If yes, please list the medications: *

How often? *

Has your pet had their meds today? *

YES
AM
PM
NO

Please indicate any additional services you would like your pet to receive while staying with us (at additional cost)

Date

By signing below as the owner or authorized guardian of this animal, I give permission to Paws Veterinary Clinic to receive, treat, prescribe, or otherwise care for the animal(s) listed above as deemed necessary. I agree to pay for reasonable but necessary care. In the event of an emergency, I authorize Paws Veterinary Clinic to treat or obtain treatment for my animal and agree to pay all reasonable and necessary charges incurred. I also recognize that attempts to contact me will be made at the above emergency contact number. I assume all responsibilities and will pay for any damages that my pet(s) does to the facility or property of Paws Veterinary Clinic, Inc. Payment is expected in full at the time of your pet’s discharge. We do accept personal checks returned checks will be assessed a $25 return fee.

Signature Of Owner/Agent *

Clear Signature

Date *

Thank you for choosing to board with us, if you notice any changes in your pet or have any concerns after boarding, please contact the clinic.

Boarding Consent Form

Boarding Consent Form

Boarding Permission Form

WE WILL ACCEPT NO RESPONSIBILITY FOR LOST OR DAMAGED ARTICLES

Think Paws.. Because We Care!

Contact Info

Address

Hours

Have a Question?

We Proudly Serve the Pets of Joplin, MO and the Surrounding Areas

Joplin

Webb City

Carl Junction

Carthage

Neosho