Boarding Information | Lake City Animal Health & Wellness Center

Welcome to Lake City Animal Health & Wellness Center’s Premium Pet Lodging! We are so pleased that you have decided to leave your pet in our care. We know you have entrusted us with a family member, and we will strive to give only the best personal attention to your special friend. Please be sure to fill out the following information sheet so that we may provide the most complete care possible.

**Drop off times are listed below **
Mondays, Wednesdays, Thursdays, Fridays :
3pm- 5:00pm
Tuesdays: 3pm-6:30pm
Saturdays: 8am-11:30am

**Pick up times are listed below **
Monday-Friday: 7:30am-12pm
Saturdays: 8am-11:30am

If you pick up or drop off outside of these time frames, you will be charged an additional FULL day of boarding for each outstanding drop off or pick up time. Ex: If you need to drop off at 8am and pick up at 1pm – you will be charged 2 extra days of boarding.

Patient’s Name(Required)

First Last

Owner’s Name(Required)

First Last

Owner’s Phone #(Required)

Emergency Contact(Required)

Emergency Phone #(Required)

Patient’s Weight(Required)

Boarding Dates

Date(Required)

Pick Up Time(Required)

Did you bring your pet’s food?(Required)

Yes

How many times per day is your pet fed?(Required)

How much food is given at each feeding?(Required)

When did your pet last eat?(Required)

If your pet is having trouble eating his/her food, may we prescribe and charge a special diet to feed them?(Required)

Yes

**Kennel maintenance food is given twice daily if food is not provided**.

Will your pet need medication administered while boarding with us?(Required)

Yes

No

List medication(s) and instructions(Required)
Medication
Instructions

Does your pet have a history of eating/shredding bedding or blankets?(Required)

Yes

No

Would you like Pamper Sessions for your pet?(Required)

Yes

No

What is your pet’s favorite activity?(Required)

Dogs only: Does your pet get along with other dogs?(Required)

May we put your pet in a playgroup?(Required)

**A pamper session is a 15 minute one-on-one time with our kennel technicians. We will be happy to engage your pet in their favorite activity (fetch, belly rubs, etc.) A $8.00 charge will apply per 15 minute session. **

Will your pet need to see the doctor during their stay?(Required)

Yes

No

Please list which services are needed and a brief explanation(Required)

Is there any other information we should know about your pet?(Required)

Yes

No

Please explain(Required)

AUTHORIZATION FOR MEDICAL CARE AND FINANCIAL RESPONSIBILITY

In the event of accident, illness, or request of doctor exam and/or treatment, I authorize treatment for my pet(s) as deemed necessary by the veterinary staff of Lake City Animal Health & Wellness Center. I also agree to assume full responsibility for charges incurred during boarding upon pick up of my pet(s). DISCLAIMER: Any damage done to a suite beyond what’s considered normal wear and tear, including, but not limited to, destruction of trim, damage to door and window frames, destruction of Astro Turf, etc., will be charged to the patient’s account and will be paid for at time of service/pick up. Blankets and/or bedding that is property of LCAHWC that is destroyed beyond normal wear and tear will also be charged to the patient’s account and paid for at time of service/pick up.

Signature(Required)
First

Date(Required)
MM slash DD slash YYYY

Patient’s Name(Required)

Boarding Date(Required)
MM slash DD slash YYYY

Pick Up Time(Required)

Hours

:

Minutes

AM/PM

Alerts on patient(Required)

Food instructions(Required)

Pampers(Required)

List(Required)
Date
Diet
Pampers
Notes

Additional notes(Required)