Medical Boarding Inquiry Form Name * First Name Last Name Email * Phone * (###) ### #### Preferred Contact Method Phone Text Email Pets Information Dog Name Breed Birthdate MM DD YYYY Sex * Male Female Neutered Male Spayed Female Medical Information Is your pets condition fully managed with their medication What medical conditions is your pet diagnosed with Is your dog on any medications? Please provide names and dosing frequency Does your pet require any special treatments ? Treatments that are not a medication such as subcutaneous fluids or physical therapy Will your pet require any in clinic treatments while they board? Such as a vet visit for bloodwork, Chemo, PT ect. Anything additional I should know? Training Information Is your dog current on their Rabies vaccine Yes No Not old enough Is your dog house trained Potty Trained Yes No Mostly Litterbox or Potty Pad Trained Is your dog crate trained No Yes can be left alone for 8+ hours Yes can be left alone for 4+ hours Mostly can be left alone for <2 hours Have you used another trainer or company in the past? If yes, Please provide the name of the trainer or company What training methods have you used Food Rewards Verbal Praise Shock Collar/ E-Collar Prong Collar Physical Corrections Verbal Corrections Has your dog ever bitten anyone No Yes a family member Yes a friend Yes a stranger How does your dog do around cats * Expected Boarding Dates From MM DD YYYY Expected Boarding Dates To MM DD YYYY Additional Dates MM DD YYYY Additional Dates MM DD YYYY Thank you!
