Boarding Check-In Form

Name: Fairview Veterinary Hospital
Address: 6735 Pittsford-Palmyra Rd., Fairport, NY, 14450, United States
Telephone: 585-223-0940
Price range: $

START NOW

Boarding Check-In

Thank you for giving us the opportunity to care for your pet. To help us better serve you, please fill out this Boarding Check-In Form prior to your pet’s visit. Please note that reservations are not final until our office has confirmed. If you have any questions, please contact us at 585-223-0940. We look forward to your pet’s stay with us. If boarding more than one pet, please fill out this form for EACH pet.

Our hours: Monday-Thursday 8 a.m.-7 p.m., Friday from 8 a.m.-5 p.m., Saturday 8 a.m.–2 p.m., and closed Sunday (boarding hours only). *NOTE: We ask that all pets be admitted one hour prior to close to give them time to get acclimated to their new surroundings. Boarding times are based on a 1/2 day schedule (2 p.m. check-in/check-out), with the exception of Sunday, which is a full day.

Pet's Name *

Client Name *

First

Last

Phone *

Email *

Emergency Contact's Name *

First

Last

Emergency Contact Phone *

Boarding times are based on a 1/2 day schedule (2 p.m. check-in/check-out,) with the exception of Sunday, which is a full day.

Arrival Date

Departure Date

I will drop my pet off: *

Before 2 p.m.
After 2 p.m.

Drop Off Time *

I will pick my pet up: *

Before 2 p.m.
After 2 p.m.

Pick Up Time *

We will not release the pet to anyone other than the owner without prior consent. All pets must be picked up within 5 days of the specified check-out date. All efforts will be made to contact the owner/agent. Failure to respond or pick up a pet will result in the facility protocol for abandoned animals.

Name and Number of Authorized Person

Pet Species *

Approximate Weight *

Appetite

Food Choice

Feedings Per Day

Amount Per Feeding

Any Special Feeding Instructions

If your pet requires vaccines, an exam may be required. If your pet requires medications, additional treatment or services, please allow extra time for check-in. Additional charges may apply.

VACCINATIONS MUST BE CURRENT for boarding. As the owner, you are responsible for ensuring your pet has all required core vaccines at least two weeks prior to boarding. If you are not a regular client of our hospital, please email/drop off proof of vaccinations at least two weeks prior to your boarding reservation. If your pet is not up to date two weeks prior to or for the entire time period of their stay, the reservation will be canceled. *

I have read and understand

I agree that all required vaccinations; including for dogs: Rabies, DHPP (distemper) Bordetella (kennel cough); for cats: Rabies, FVRCP (distemper) will be given at least 2 weeks prior to or will be up to date for my pets entire stay. *

I have read and understand

I agree that the hospital is a flea-free facility and that if there are fleas present on my pet, my pet will be treated at the veterinarian's discretion and at the owner's expense. *

I have read and understand

Is your pet on any medications? *

I understand that controlled substances may not be brought into the building and if my pet is on a controlled substance they can not board at this facility. *

I have read and understand

I understand I must bring medication in its original bottle, or it cannot be given to my pet. *

I have read and understand

I agree that my pet is not aggressive and does not have a history of biting humans or fighting with other animals. *

I have read and understand

Is there anything you would like our team to check while your pet is boarding? (Exam fees may apply.)

Regular Veterinarian or Hospital

SERVICES (additional charges will apply)

I would like walks for my pet.
I would like playtime for my pet.
I would like a brush out or comb/clip mats for my pet.
I would like my pet to have a bath (including nail trim) before coming home. (Baths will be performed on either the day before or day of pick up, bases on availability. If your pet requires a medicated bath, medicated shampoo must be provided or purchased by the owner.)

Additional Information About Your Pet

My pet can have a blanket during their stay.
My pet can jump over 6 feet.
My pet may be boarded with another pet. (Must be from the same family. By selecting this option, the hospital will not be held responsible for injuries or death.)

If your pet becomes ill, we will make every attempt to contact you and/or your emergency contact at the numbers provided. If the situation is life-threatening and time does not allow prior notification, we will treat it accordingly. If the situation appears serious enough, your pet will be taken to Veterinary Specialists & Emergency Services at 825 White Spruce Blvd, Rochester for 24-hour care. If there are limitations to the care you wish us to provide for your pet, please communicate that to us before you leave your pet with us. If you select additional walks for your pet, please understand that every precaution will be taken to ensure your pet’s safety; however, there is always a risk when walking pets outdoors. By signing below you are indicating that: you understand that you are responsible for all charges relating to services you request and any treatments provided should your pet become ill and you will not hold the hospital or its employees responsible if anything should happen while your pet is outside the building.

Signature *

Boarding Check-In Form

Boarding Check-In

Your preferred Fairport veterinary hospital

Contact

Hours

Location

Have a question?

Ready to begin earning rewards?