| 
 Boarding 
 Please call the office to reserve boarding dates for your pets. We require a 50% deposit upon booking. This deposit is nonrefundable if you cancel with less than 1 weeks notice. We can fill up quickly especially during the holidays, so please make reservations early. You pet must have a current annual exam with GVH prior boarding date. For everyone's safety, Gilroy Veterinary Hospital has the right to refuse boarding for pets that are a danger to the staff or other pets. 
Dog requirements: Rabies, DAP, Influenza and Bordetella vaccines need to be up to date prior to boarding date. Please be prepared to provide proof at the time of booking. 
Cat requirements: Rabies and FVRCP (3-way) vaccines need to be up to date prior to boarding date. Please be prepared to provide proof at the time of booking. 
BOARDING AGREEMENT 
Gilroy Veterinary Hospital 
9565 Monterey Road 
Gilroy, Ca 95020 
  
Today's date ______________      Date of Pick-up_______________  am or pm 
Owner __________________________________________________________ 
                                                                     Bathe           Medication 
Pet(s) Boarding ____________________________  yes or no       yes or no 
__________________________________________  yes or no       yes or no 
__________________________________________  yes or no       yes or no 
__________________________________________  yes or no       yes or no 
  
Person(s) to contact in case of emergency 
  
_______________________________________________________________ 
Emergency telephone number(s) 
  
_______________________________________________________________ 
Pet(s) belongings (carrier, toys, bedding, etc) 
  
_______________________________________________________________ 
  
_______________________________________________________________ 
  
Special Instruction- Include detailed medication directions, feeding instructions, aggressive behavior and anything else you wish GVH to be aware of: 
_______________________________________________________________ 
  
_______________________________________________________________ 
  
_______________________________________________________________ 
  
Advance payment is requested for those pet(s) boarding with us for more than a 14 day period. 
  
FOR YOUR PET'S HEALTH 
Vaccination Policy 
To insure the protection of all pets under our care, the following must be up-to-date: 
Dogs:_______Rabies_______DHLPP_____ Bordatella 
CATS: ______Rabies_______3WAY______FELV 
If not up-to-date, or unable to provide proof, vaccinations will be given in accordance with the above policy. 
In addition, if any fleas/ticks are observed on your pet(s) while boarding, he/she (they) will be treated at the owner's expense. 
MEDICAL ILLNESS POLICY 
One of the advantages of boarding your pet(s) at a Veterinary Hospital is that veterinary attention is readily available should the need arise. If your pet becomes ill, we will call the emergency number(s) you have provided regarding your pet's symptoms, treatment options, and estimate of additional costs. If no one can be reached however, please indicate your wishes below should your pet(s) require treatment to relieve immediate discomfort or to resolve an important medical condition. 
_______ Please perform whatever services the doctor deems necessary for the best care of my pet(s) until someone can be reached. Up to $_______. After trying to reach owner and/or emergency contact by telephone and exhausting the dollar amount indicated, if deemed necessary by the attending doctor, I give my consent to euthanize for humane purposes. 
_______ Do not administer any medical treatment. I hereby give my consent to euthanasia for humane purposes. 
I have read and understand this agreement. I fully intend to pick up my pet(s) on the above specified date. If circumstances change, I will notify GVH of the new pick up date. If I neglect to pick up my pet(s) within 5 days and do not notify GVH within that time frame, GVH will assume the pet(s) is/are abandoned and are hereby authorized to dispose/sell the pet(s) as deemed best/necessary. 
GVH is not responsible for lost toys/collars/leashes, etc. 
Date: ___________ 
Owner/Agent for pet(s): __________________________________________ 
 |