Boarding Release

Boarding Release Form

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Timberland Animal Clinic

Tender loving care is always provided. Fenced in green space for dog walking. Cat room for exercise and lounging.

18110 SE Division

Portland,  97236





Boarding dates from____________________to_________________


Pet Names______________________________________

Special instructions for each pet






Please give my pet _________________a bath while boarding. (ask us the charge)

Our boarding Policy :To prevent the spread of infectious diseases and parasites, hospitalized

and boarded animals MUST be current on all vaccines and free of internal and external parasites. Documentation of vaccines is needed. If your pet chews his/her bedding it will be removed as a safety measure.

If not current or unable to provide proof of vaccinations, I give my permission to update my pet(s) vaccinations in accordance with the

above policy. In addition we will examine your pet for fleas. If fleas are present we will treat to prevent infestation of our premises.

I authorize the staff parasite control as needed for my pet. I understand that I will be responsible for the cost thereof.

Signed: ______________________________ Date: __________________

Medical Illness Policy

One of the advantages of boarding your pet(s) at a veterinary clinic  is that veterinary attention is readily available should

the need arise.  If your pet(s) become ill, we will call the emergency number(s) listed below regarding your pet(s) symptoms, treatment

options and estimate of additional costs .  If no one can be reached, however, please indicate your wishes below:

a.________Please perform whatever services the doctor deems necessary for the best care of my pet until someone can be reached.

b._________I authorize up to $100_____$200_____  $______ in medical care

until someone can be reached

c._______Do not administer any medical treatment until specific authorization is given.

please contact:   __________________________Phone# : _________________________cell#__________________________

signature_______________________________ Date:___________

Best Veterinarians in Portland. Husband and Wife Team