Online Boarding Form - Gillespie Veterinary Center

Client Name*

First Last

Email

Phone*

Pet Name(s)*

Check-in Date*

Check-out Date*

Is your pet on any medications?*

Yes
No

If yes, please list:

A technician will be available for pick ups and/or drop offs on weekends at 8:30 a.m. and 4:00 p.m.

Is your pet current on Rabies vaccination?*

Yes
No

Is your pet current on Parvo/Distemper vaccination? (canine only)*

Yes
No

Is your pet current on Bordetella vaccination? (canine only)*

Yes
No

All of these vaccinations are required for boarding. If your pet is not up to date on any of these vaccinations, they will be given while staying with us. Boarders will also be given a Capstar upon arrival for the prevention of fleas while at Gillespie Veterinary Center.

Additional services requested (if any):

We strive to provide the best care and compassion for your pets. If your pet becomes ill while boarding with us, we will attempt to contact you. All necessary diagnostics and treatments will be performed until we are able to reach you. Leashes should be taken along with owner. Beds, blankets, toys, etc. are permitted, however Gillespie Veterinary Center will not be responsible for the loss of any items left with pets.

Signature of pet owner (type name beneath)*

Today's Date*

Name

This field is for validation purposes and should be left unchanged.