Hebron Cat Hospital

1617 W. Hebron Pkwy
Carrollton, TX 75010-6334

(972)394-9228

hebroncathospital.com

 

Boarding Form

 

Boarding is for our feline friends only. >^..^< Please fill out a new client form if your cat has never stayed at Hebron Cat Hospital.

If you would like, we also have
printable forms
available for you to print out and bring in with you.

In order to reserve your dates and location, a non-refundable deposit equal to one night of boarding will be collected when you make your reservation, please give us a call at your convenience. Additionally, our first time guests will make a 50% deposit upon arrival.


Boarding Form

Name (required)
First Name (required)
Last Name (required)
Your Cat(s)' Name(s) (required)

Phone Number (usable during your cat's stay) (required)
Phone TypePhone Number (required)
May we use the number above to text you information about your pet?
yes
no


Alternate Phone Number
Phone TypePhone Number
May we use the number above to text you information about your pet?
yes
no


Emergency Phone Number (if you are unavailable) (required)
Phone TypePhone Number (required)
May we use the number above to text you information about your pet?
yes
no


E-Mail Address :
Tentative Boarding Dates:
Dates Boarding: (required)

Location Desired (call to check availability):

Medication(s)
Is your cat currently taking any medication?
(please bring all medication with your cat)
yes
no


If yes, please list the medication and how often it is given:

Every attempt is made to medicate your cat; but, if a boarder is aggressive, we may not be able to.
Food: Cats must be on the same diet if they are housed together (in the Paris or Hawaii Suites
Did you bring your cat's food with him/her?
(If not, there is a food charge of $3.24 per day per cat for Science Diet Sensitive Stomach)
yes
no


If yes, what type and how often do you normally feed your cat per day?

If not, how often do you normally feed your cat?

Personal Belongings: (please list and describe any other items brought with your animal)
Treats

Bedding

Toys

Other

Please read:
Please note that any and all items left in our care will be treated properly but we cannot be held responsible for loss or damage that may occur to your pet's belongings during their stay at HCH.
Please initial here if you are leaving any belongings:

Are there any other services you would like performed during your cat's stay?
I understand by checking these boxes I am initialing additional procedures at additional cost. (required)

Please complete a urinalysis. (Recommended if >6 yr)
Please radiograph my pet's chest to detect possible heart/lung disease. (Recommended if>6yr)
Please scan my pet, if no microchip is found, please permanently identify with a microchip.
Please trim my pet's nails if indicated.
Please clean my pet's ears if indicated.
Please update my cat's Vaccines.
If needed, which vaccines would you like us to give your cat?
Rabies Vaccine
Feline upper respiratory(HCP)
Feline Leukemia (FeLv)
all
all but Feline Leukemia


History:
Has your pet shown any recent signs of:
Vomiting
Diarrhea
Sneezing
Coughing
Please explain (frequency, discharge, etc):

Is there anything else that you would like addressed by HCH while your pet is staying with us?

In the event that my companion animal arrests while staying at Hebron Cat Hospital
I authorize the following CPR code: (required)
(by checking the box you are initialing your choice)
CPR: Normal CPR involving chest compressions, oxygen therapy and medications such as epinephrine, atropine, etc.
DNR: No resuscitation


Please Read Carefully
In case of illness or injury, I, the undersigned do hereby give my consent for Deanne Durham, DVM, her agents, servants, and/or representatives to treat, prescribe for, or operate upon my pet(s) while they are being boarded at Hebron Cat Hospital. You are to use all reasonable precautions against illness, injury, or escape of my pet, but you will not be held liable or responsible in any manner whatsoever, or any circumstances, on account of the care, treatment, or safe keeping of my pet, as it is thoroughly understood that I assume all risks. Should the circumstance arise that my pet remains unclaimed after the date which I have stated as the pick-up date, I understand that written notice will be mailed to the address on file. Seven days after such written notice the pet will be considered abandoned and may be disposed of, or destroyed as HCH deems best. It is further understood that such action will not relieve the undersigned from paying all costs of our services and the use of our hospital, including the cost of the boarding service. I understand that if my pet is not up to date on annual vaccines, they will be given and I will be responsible for the payment of these services.
Highly aggressive cats, will have an additional fee of $10 added to their daily boarding.
I understand that if any fleas are found on my cat, I will be charged for flea medication.
By initialing below I am giving my approval to the above statements. (required)


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