Compassionate Care Authorization Form

• Vaccinations: You will provide the Clinic with your pet’s vaccination records prior to arrival will abide by the Clinic’s vaccination requirements. Rabies, Distemper and Bordetella vaccinations are required to be current. Puppies or Kittens that have not completed their initial vaccine series cannot be boarded for the safety of all pets.
• Intestinal Parasite Screening: You will provide the Clinic with your pet’s current (performed within 6 months) fecal screening results prior to arrival. The screening must prove negative for all intestinal parasites. If a sample was positive and the pet has recently been treated, a follow up fecal screening is required within the appropriate time frame provided by the Companion Animal Parasite Council (CAPC).
• Medications: If medication administration is required during a reservation, all medication must be in its original dispensing container. The following prescribing information must be included and legible: name and strength of medication, prescribing veterinarian and clinic information, and directions for administration. Pill dispensers or medications in bags are not allowed.
  • A daily medication administration fee will be charged.
• Potty Training: All dogs must be crate/kennel trained. If a pet has consistent accidents and the Clinic has ruled out possible causes, future boarding services may no longer be offered and another option will be recommended.
• Fleas: All animals must be free of fleas before admission. If fleas are identified, you will be notified to pick up the pet immediately.
• Health: All animals must be free from any condition that could potentially jeopardize other guests. Pets that have been ill with a communicable condition within the last 30 days will require veterinary certification of health to be admitted or readmitted.

• Personal Items: We request that you do not leave personal items such as toys and blankets with your pet. However, if you choose to do so, the Clinic is not responsible if the items become lost, broken, or soiled.
• Daily Instructions: You will provide specific instructions for feeding and medicating as well as any other information that may be helpful in making your pets stay with us as comfortable and fear free as possible. Examples may include:
  • Blind or difficulty getting around in new situations, please carry outside, deaf, etc.
  • Do not let off leash, will jump fence
  • Food allergies: please don’t give chicken-based treats
  • Human family member nut allergy: so we avoid giving peanut butter while staying with us
  • Takes medications well wrapped in treats or cheese
  • Doesn’t like other dogs or cats, people wearing hats, men, kids, etc.
• Behavior: If your pet has a history of aggression or biting, Compassionate Care Veterinary Clinic reserves the right to refuse service and is required to disclose all known dangers associated with my pet(s).
• Scheduled Services: For services that you have scheduled in advance, you may request an estimate of fees prior to your appointment. While we do our best to provide accurate plans of treatment, services may vary due to a variety of unknown factors. We will do our best to keep you up to date regarding possible deviations from the estimate.
• Urgent Services: If your pet encounters an urgent problem while in the care of CCVC, we will use sole discretion to perform services to ensure your pet remains in the best health possible. We will use best efforts, given the situation, to contact you prior to providing any services for urgent problems. If we are unable to reach you in an appropriate time frame (deemed by the veterinarian) you authorize CCVC to diagnose and treat your pet accordingly. You agree not to hold CCVC liable for such decisions made in the Clinic’s sole discretion. All fees associated with such services are the client’s responsibility and must be paid prior to leaving the Clinic.
  • Urgent problems include but are not limited to:
    • Life-altering emergency services and/or time sensitive procedures
    • Treatment for diarrhea and/or vomiting
    • Sanitation services requiring bathing or grooming
    • Parasite/Flea treatment
    • Vaccine treatment which may also include a full examination
• Abandoned Pet: If you fail to pick up your pet after five calendar days from the stated discharge date without notification, CCVC will assume the pet has been abandoned and will abide by required legal steps for abandoned pets.
• Outdoor Yard: Your pet will periodically be taken outdoors in a securely fenced yard. If your pet has a history of escaping fenced yards, you must notify the Clinic in writing.

have read and agree to the above requirements and policies. I shall indemnify Compassionate Care Veterinary Clinic and their employees, and hold each of them harmless from any claim, demands, causes of actions or damages, including reasonable attorney’s fees arising out of any action damage, or injury that occurs to my pet while in the care of Compassionate Care Veterinary Clinic. I acknowledge and understand that there are certain risks involved with boarding and grooming services, that every animal reacts and behaves differently, and that animals, by nature, can be unpredictable.

This agreement shall continue until either party provides a written, dated notice of termination to the other party. This agreement shall replace any prior agreements relating to any pet between you and Compassionate Care Veterinary Clinic