ANIMAL HOSPITAL

202 Pisgah Church Road, Greensboro, NC 27455 :: map ::
Ph: 336.286.9500 | Fax: 336.286.9505 | compassion@gatecityvet.com

 

 

 

 

 

Schedule boarding

Download printable form.

Please complete this form to schedule boarding.
Owner's Full Name

E-Mail

Home #

Work #

If you will be reachable while away, please include a phone number with area code:

Emergency contact name: 

Emergency phone: 

Pet's name

Type of pet
Dog
Cat
Other (specify)

Special instructions/requests/medicine

Please list all of your pet's possessions you are bringing while he or she boards.

Vaccinations
All pets boarding in our hospital are required to be currently vaccinated against RABIES and DISTEMPER, and have a current negative intestinal worm exam. Additionally, all dogs must be currently vaccinated against PARVO and BORDETELLA. If your pet is not a client of Gate City Animal Hospital, please bring proof of vaccination or your pet's current veterinarian's contact information with you.

Parasite policy
Your pet will be inspected for parasites upon admission by our kennel staff. Any pets showing obvious signs of parasites (i.e. fleas) will be treated at owner’s expense.

Medication your pet while it boards
We will be more than happy to continue your pet’s medication routine during their stay with us. There will be a small medication charge. 

Boarding dates:
From: To:

Pick-up time:
Monday - Friday: 8:30 AM - 6:00 PM
Saturday: 8:30 AM - 12:00 noon
Your estimated pick-up time: 

Designated pick-up person (optional)
I understand that if someone other than me picks up my pet, they will be responsible for all fees at check-out unless payment is rendered at drop-off.
Name of authorized pick-up person (if applicable):

OWNER RELEASE
If any serious health condition develops, your pet will be treated as deemed best by the staff veterinarian. Expenses incurred are the responsibility of the owner. We will attempt to contact the owner or emergency name listed above before treatment is begun. Gate City Animal Hospital and its staff will not be held liable for any problems that develop provided reasonable care and precautions are followed.
I agree to these terms:

 

 

 

 

 

 

 

 

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