Asheville Highway Animal Hospital, LLC — AHAH Boarding Form Online

Client Information
Boarding Arrival Date*
Date Format: MM slash DD slash YYYY
Boarding Pick-Up Date*
Date Format: MM slash DD slash YYYY
Owner Name*
First Last
Phone*
Email*
Emergency Contact Name*
First Last
In the event we cannot reach you, who has permission to make medical decisions for the pet?
Emergency Contact Phone*
Pet Information
Pet Name*
First
Physical Limitations/ Allergies/ Special Instructions:
Authorizations and Waivers
Emergency and Medical Treatment Authorization*
- Yes: I approve
- No: I do not approve
I understand and agree if the need arises, emergency and medical treatment for my pet will be provided by the doctor(s) and staff of Asheville Highway Animal Hospital and I agree to pay all reasonable costs associated with such treatment. In the event of an illness or emergency, a representative from Asheville Highway Animal Hospital will make every effort to contact me at the number I have provided. If I cannot be reached within a reasonable amount of time, I authorize the doctors of Asheville Highway Animal Hospital to make medical decisions in the best interest of my pet. We strive to keep a clean and flea-free boarding environment for your pet. In order to do so, any boarding pet that has fleas upon check in will receive a Capstar tablet at a discounted price (due upon pick up).
Electronic Signature for Emergency and Medical Treatment Authorization*
First Last
Personal Belonging Waiver*
- Yes, I agree
In order to protect your pet’s health, the staff at Asheville Highway Animal Hospital may remove your pet’s belongings should they become a medical risk, i.e. chewing, swallowing, or entanglements. This facility maintains the right to facilitate any medical procedures needed at the expense of the client should ingested items cause sickness.
Electronic Signature for Personal Belongings Waiver*
First Last
Date of Electronic Signatures*
Date Format: MM slash DD slash YYYY
Photo Release Form*
- Yes
- No
You never know when a photo opportunity might arise! In case we capture a cute picture of your pet can we email them to you or upload the cute photos to our website/social media?
A La Carte Services
Additional Health Services Requested*
Click CTRL on your keyboard and left click to select multiple
If other please describe:
Are any medications necessary for boarding?*
- Yes
- No
Give names of medications and the dosage to be given:
Name of Medication Dosage
Play Times*
- Yes
- No
Dogs are walked twice a day in our exercise yard. Supervised 15-minute play time with activities in our dog exercise yard can be added Monday-Saturday. Would you like any special playtimes while they are boarding? (additional charges may apply).
How many play times
Spa Services*
- Bath Only
- Shear
- None
Each bath/shear includes bathing, brushing, nail trim, ear clean, & anal gland expression. Bathing is available for cats and dogs. Prices vary according to size of pet and condition of hair (mats, etc.)
Additional Spa Services
Click CTRL on your keyboard and left click to select multiple
Sunday Pick-Up
Would You Like to do a Sunday Pick-Up?*
- Yes
- No
Don’t want to wait until Monday to pick up your pet? No Problem. AHAH offers Sunday pick-up between 5:00pm – 5:15pm. (Additional Fee applies. Sunday Pick-ups must be pre-paid at check-in.)
Feeding Instructions
Which Food Are We Feeding Your Pet?*
- AHAH Food (Purina E/N)
- Own Food
We recommend bringing your food with you as a change in your pets’ diet along with stress may cause intestinal upset.
If we are feeding your own food:
Brand Type (Dry/Wet) Amount Frequency
Personal Belongings
Select All Personal Belongings Your Pet Brought*
Click CTRL on your keyboard and left click to select multiple
Describe Your Pet's Personal Belongings*
Type "none" if pet didn't bring any
AHAH Boarding Experience and Requirements
The AHAH Boarding Experience*
I have read the AHAH Boarding Experience
• Each dog will have his/her private run (housemates can stay together in the same run, if preferred, size permits, and can if they can eat together). Each cat will have his/her private “Kitty Condo” (unless multiple cats from the same home prefer to stay together then 2 condos will be linked.)
• Dogs will have a “Cozy Cot” and cats will have a “Comfy Couch” provided by AHAH. You may bring their personal bedding, blankets, and toys to give their accommodations a more personal tough, if desired.
• All dogs will be fed Purina E/N dry food and all cats will be fed Purina E/N dry food. If your pet is on a special diet and /or must adhere to a specific feeding schedule, please let us know and we will be happy to comply.
• All dogs will be walked no less than twice a day in our dog exercise area. (Additional activities are available & additional charges may apply.)
• All pets will be brushed once a day.
Requirements for Boarding*
I have read the Requirements for Boarding
1.) All animals must be current on all vaccinations.
a. Dogs: DHP-PV, Bordetella, Rabies, and Fecal is REQUIRED
b. Cats: FVRCCP, Rabies, and Fecal is REQUIRED
2.) All boarding clients must provide written proof of vaccination at check in. If unable to provide proof, then pets will be vaccinated according to the guidelines above at owner’s expense.
3.) All animals must be free of external parasites (ex. ticks, fleas, etc.) or they will be treated at owner's expense.
4.) For New Clients and Sunday Pick-ups, payment is required at check-in. All others can pay at pick-up.
5.) Pets pick up time:
a. Monday: Friday 9:00am – 5:00pm
b. Saturday: 9:00am – 1:30pm
c. Sunday Pick: 5:00pm – 5:15pm. Additional fee applies for Sunday Pick-ups
d. No pickups are available outside of these times.
6.) AHAH is not responsible for items left with your pet such as: (blankets, towels, toys, etc...)
7.) We CANNOT give your pet rawhides, pig ears, hooves, or any treats of this type while boarding. These are considered dangerous toys.
Electronic Signature*
First Last
Date*
Date Format: MM slash DD slash YYYY
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Name
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Name of Medication	Dosage

Client Information

Pet Information

Authorizations and Waivers

A La Carte Services

Sunday Pick-Up

Feeding Instructions

Personal Belongings

AHAH Boarding Experience and Requirements