Medford Animal Hospital

Boarding Form

Save time during your next appointment! Complete your required boarding form from any device at any time before your visit.

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Boarding Form

Medford Animal Hospital-Boarding Agreement

Thank you for choosing to board your pets here with us. In order to keep our hospital sanitary and keep your pets safe we ask that you follow our boarding guidelines.

Owner's Name: *

Pet's Name: *

Pick Up Date:

Drop off Date:

Email *

Please note that your pet MUST be current on all of the following!

Canine

Dhlpp
Rabies
Bordetella

Dhlpp Date

Rabies Date

Bordetella Date

Feline

Fvrcp
Felv
Rabies

Fvrcp Date

Felv Date

Rabies Date

If your pet is due for any of the above vaccines we will administer these for you.

The following can be done at your request during boarding (additional fees apply):

Bath
Yearly Exam
Pro Heart Inj.
Heartworm Test
Toenail Trim
Anal Glands
Microchip
FIV /PeL V Test

Medication Instructions:

Feeding Instructions:

Is it okay to give treats or chews?

Is it okay to let your dog spend time in the outside run?

Non-Emergency Treatment Authorization:

I authorize Medford Animal Hospital and its staff to treat/care for my companion as is needed. I would like a call prior to treatment.

Emergency Treatment Authorization:

In the event that my pet becomes ill, I hereby authorize Medford Animal Hospital (MAH) and it's staffto treat/care for my companion as they see fit, and in rare circumstances, transfer by MAH staff to Southern Oregon Veterinary Specialty Center in the event that a condition cannot be managed at MAH. Every attempt will be made by MAH staff to reach the owner or authorized person, once the emergent situation allows.

I authorize an amount of $ to be used only for emergency care of my pet. I assume full financial responsibility for all charges incurred during treatment.

Emergency Contact:

Name: *

Phone#: *

Owner/Responsible Party:

Date

**Please note that this hospital is not staffed 24 hours a day** Animals may be dropped off and picked up during business hours only, !!Q exceptions.

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We proudly serve the pets of Medford, Central Point, Jacksonville, Phoenix, Talent, Ashland, Gold Hill, White City, and beyond. We look forward to seeing you! You may book an appointment by clicking the button below.

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