Health Update required every visit

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Please Complete this form on every Boarding-            Staff- KENNEL NO.

Dog’s Name -                                     Surname-

1.Is your dog currently receiving any Veterinary Treatment- ?         Yes / NO    

   if YES please give details

    

2.  Does your dog have any special dietary requirements  ?     Yes/NO                                                  

if YES please give details

3 .Does your dog have any allergies ?      Yes  / NO                                                                                                 If Yes please give details


4.Is your dog healthy and free from any injury , lumps and bumps or sickness ?     YES / no   
If we notice any problems not documented -we may have to take your dog to the vet at your cost .                                                       

If No give details

5.Is your dog insured ?  YES/ NO


 

 6.Date you are collecting -                            AM/ PM

Signed- 

                                                                                               Date-

7.Where are you going ?

 

8.Emergency contact number for this trip -

9.If your dog is ill during their stay should we -               PLEASE TICK ONE !!!

CALL THE VET                  CONTACT YOU                           RING YOUR EMERGENCY CONTACT

 

 

10.WOULD YOU LIKE TO BOOK A BATH  YES / NO

OR GROOM – WITH 10%DISCOUNT ?    YES  /   NO
How would you like the groom ?

 11.Nails £5  Yes  /  No

12.WOULD YOU LIKE TO BOOK EXTRA EXERCISE ?   YES  /  NO  please indicate which below , they will be done daily unless specified differently

 

One session daily  £4                 Two sessions daily £6  

13.OWN FOOD - PLEASE TELL HOW MUCH TO GIVE AM                                                 PM  

 

 

Staff only -

ex ex   card   bill   board                             grooming diary 

tick and initial

PLEASE COMPLETE THE DETAILS BELOW IF YOUR DOG IS ON MEDICATION OF ANY KIND-

BOARDING DOGS ON MEDICATION
DOGS NAME                              SURNAME                         PLEASE STATE BELOW THE MEDICATION, WHAT IT IS FOR , AND DOSE REQUIRED –   

CURRENT VET PRACTICE –
 WHILST WE WILL ENDEAVOUR TO FOLLOW THE REQUESTED MEDICATION CORRECTLY, PLEASE BE AWARE THAT EATING HABITS, EXERCISE AND ACTIVITY AND STRESS LEVELS VARY DRAMATICALLY WHILE IN KENNELS . THIS CAN HAVE A MAJOR EFFECT ON ALL CONDITIONS ESPECIALLY DIABETES, KIDNEY PROBLEMS, THYROID AND EPILEPSY .
ALL ANIMALS ARE BOARDED AT THEIR OWNERS OWN RISK .
IT IS RECOMMENDED THAT YOU CHECK WITH YOUR VET THE SUITABILITY OF BOARDING YOUR DOG WITH ITS CURRENT HEALTH PROBLEMS. 
I HAVE READ AND UNDERSTOOD THIS FORM –
SIGNED –                                    DATE-