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Boarding and Stay & Play Waiver

Boarding and Stay & Play Waiver

Thank you for choosing Creekside Veterinary Hospital! Please fill out this form as completely and accurately as possible..

This Agreement and the Supplements referred to herein apply to any and all visits involving your Pet(s) to Creekside Veterinary Hospital (further known as CVH) for Boarding, Stay & Play, Training, Puppy Play and/or any other Services provided by CVH as identified below and listed on the Boarding Intake Form and New Client Paperwork from the date of completion and on.

(Pet Parent Initials)

9. We reserve the right to refuse to accept a Pet at check-in, transport it for medical attention, and/or to make temporary alternative arrangements to house and care for your Pet until you or your Agent can retrieve the Pet for any reason, including without limitation, if it appears to us your Pet is sick, injured, in pain, or that its behavior could jeopardize the health or safety of other pets or our staff.

• If, at any time, your Pet is found to have fleas or ticks, we will require the appropriate flea or tick removal treatment, and you authorize CVH to provide appropriate treatment, and you agree to cover the cost of such treatment.

• You represent that your Pet has no illness, injury, or behavior problem (including aggressive or biting behavior) that has not been disclosed to CVH.

• You represent and affirm that your Pet has not been exposed to rabies, distemper, or parvovirus within 30 days prior to beginning its stay with CVH.

• If your Pet has recently been treated for a contagious illness, we will not accept your Pet(s) for at least two (2) weeks after treatment has been completed.

• You acknowledge and agree that in the unlikely event your Pet becomes ill or injured, or if your Pet has a preexisting condition which is aggravated by its stay and requires professional attention, we will attempt to notify you or your Agent at the telephone numbers you provide on the reverse side. If we cannot reach you or your Agent, CVH, at its sole discretion, may engage the services of a veterinarian and/or administer medicine or give other necessary attention to your Pet, and you authorize us to seek treatment and provide any such service, and you agree to reimburse CVH for the cost of the medical care and treatment. In cases we believe to be critical or medical emergencies, we may take your Pet to the veterinarian before trying to contact you. If at any time you refuse medical treatment for your Pet, CVH may, at its sole discretion, engage the services of a veterinarian and/or administer medicine to make your Pet as comfortable as possible until picked up by you or your Agent, and you authorize us to provide any such service and agree to reimburse CVH for the cost of the medical care and treatment. You understand and agree that if we cannot reach you or your Agent, CVH will make healthcare decisions
for your Pet based on the recommendations of available professionals.

• YOU HEREBY KNOWINGLY AND WITH INFORMED CONSENT AUTHORIZE THE RELEASE OF ANY AND ALL VETERINARY RECORDS TO CVH IN CONNECTION WITH ANY AND ALL MEDICAL TREATMENT PERFORMED ON YOUR PET DURING, OR IN CONNECTION WITH, YOUR PET’S STAY.

(Pet Parent Initials)