Adair County Animal Hospital & Laser Surgery Center
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Small Animal Appointment Request- Columbia
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Appointment Request
Boarding Reservation - Russell Springs
Food & Prescription Refill Request
Client & Patient Forms
New Client Form
Registration Form: Surgery, Daycare, Boarding, & Grooming
Patient Exam: History Questionnaire
Teeth Cleaning Consent
Record Release Form
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Client Resources
Petly: Online Pet Records
Pet Health Network
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AAHA Accredited Hospital Locator
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Office of the KY State Veterinarian
UK Department of Agriculture- Animal & Food Science
Community Involvement
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ACAH&LSC- Columbia
Columbia Boarding Reservation
All pets boarding with us are required to be up to date on vaccinations.
Please see the required list on the Registration Form page.
If vaccines were given at a different hospital or clinic, you must bring proof they were given by a licensed veterinarian at the time of check in or earlier. Also required is a negative fecal flotation within the last 6 months. Exams and vaccinations can be given during the time of stay if necessary. (Please see options below.)
*
Indicates required field
Client Status
*
Existing Client
New Client
If you are a new client, please print and fill out the New Client Welcome Sheet (see Forms tab.) Also, bring all previous medical and or vaccination records with you to your pet's appointment so we may better tailor their healthcare.
Owner or Co-Owner Name
*
First
Last
Additionally, if you are a new client, please print and fill out the New Client Welcome Sheet and bring it with you to the appointment.
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Type "N/A" if you do not have one.
Preferred method of contact to confirm request:
*
Phone Call
Text Message
Email
Pet's Name
*
First
Last
Please send a request for each individual pet.
Type of animal
*
Cat
Dog
Other (Please specify in the box below.)
Other type of animal:
*
Gender
*
Female
Spayed Female
Male
Neutered Male
Reservation Information:
Date Checking IN: (MM/DD/YYYY)
*
Date Checking OUT: (MM/DD/YYYY)
*
Weekend check in OR check out must be completed by closing at 12 noon on Saturday.
Kennel Selection:
*
Cat Condo (Single)
Cat Condo (Double)
Dog Condo (Medium): 0-20 pounds
Dog Condo (Large): 21 to 40 pounds
Dog Condo (X-Large): 41 to 65 pounds
Dog Run (Large): 66- 100 pounds
Dog Run (X-Large): 101+ pounds
Feeding Instructions:
Food Selection:
*
Please feed dry clinic diet.
I am bringing dry food from home.
I am bringing canned food from home.
I am bringing both dry and canned food from home.
We are happy to feed any food your pet is used to eating at home. Or we can serve them our clinic food. Either option is free of charge.
While boarding, pets are feed twice daily.
*
I am okay with twice a day feedings.
Will need to be fed 3 times daily.
Free Choice feeding: food bowl kept full at all times.
Once in the morning
Once in the evening
We can accommodate for a different schedule or preparation at no additional charge.
Additional Feeding Instructions:
*
Playtime Options:
Extra 15 Minute Playtime
*
No extra playtime
Extra Playtime Alone- 15 mintues
Extra Human Interaction Playtime- 15 minutes
All pets are fed and walked daily at 8 am and again at 4 pm. You can add as many extra playtimes and combinations of playtimes (alone play verses human interaction play) as you want- each at an additional charge.
Frequency of Extra Playtime (alone):
*
Not Applicable
Once per day
Twice per day
Three times per day
Every other day
Only once during stay
Two times during stay
Three times during stay
Frequency of Extra Human Interaction Playtime:
*
Not Applicable
Once per day
Twice per day
Three times per day
Every other day
Only once during stay
Two times during stay
Three times during stay
Medications:
My pet will need to be given medication(s) while boarded.
*
Yes
No
Name of Medication & Strength
*
2nd Medication Name & Strength
*
3rd Medication Name & Strength
*
Frequency Given:
*
Once daily in the morning
Once daily in the evening
Once daily at noon
Twice a day
Three times a day
Four times a day
Additional fee: based on the number of times per day.
2nd Medication Frequency Given:
*
Once daily in the morning
Once daily in the evening
Once daily at noon
Twice daily
Three times daily
Four times daily
3rd Medication Frequency Given:
*
Once daily in the morning
Once daily in the evening
Once daily at noon
Twice daily
Three times daily
Four times daily
Additional Medication Instructions:
*
Other service(s) requested:
(Please select all other services requested during this stay.)
An Exam:
*
Puppy/ Kitten Wellness and or Booster Exam (under 6 months old)
Adult Annual Wellness/ Bi-Annual Wellness Exam (over 6 months- 7 years old)
Senior Annual/ Bi-Annual Wellness Exam (over 7 years old)
Adult or Senior Booster Vaccination Exam (for previous vaccinations given within the last 3 weeks)
Illness/ Injury Exam
Recheck a previous issue (seen by us within the last 4 weeks)
Post-Surgical Recheck (spay, neuter, or teeth cleaning)
Post-Surgical Recheck (Other)
House Call (Small Animal)
Vaccinations:
*
5-way or DHP-Pv+L4 (basic canine vaccine)
Bordetella or kennel cough (canine)
Lyme (canine)
Influenza (canine)
Rabies- 1 Year
4-in-1 or FVRCP (basic feline vaccine)
Feline Leukemia
An exam by the veterinarian is required for most vaccinations to make sure the patient is healthy enough to receive them.
Lab Work:
*
General Blood Work: Complete Blood Count, Electrolytes, and Chemistry
Complete Blood Count only
Senior Blood Work Screening
Diabetic Blood Work
Canine heartworm screening (Plus 3 tick-borne diseases)
Feline Leukemia, Immunodeficiency Virus (FIV), and heartworm screening
Urinalysis and Sediment
Fecal- internal parasite screening
Other
An Anesthetic Procedure:
*
Teeth Cleaning
Canine Neuter
Canine Spay
Feline Neuter
Feline Spay
Monday- Friday only. Pets must to checked into the hospital between 8am and 8:45am to allow ample time for any pre-surgical blood screenings and surgery preparations. Due to Kentucky State law requiring annual rabies vaccinations, proof of a rabies vaccination given within the last year by a licensed veterinarian is required or one will administered for you.
Maintenance Therapy:
*
Adequan Injection
Allergy Injection (Hyposensitization)
Day Spa Options:
Please call specific office location for reservation availability. Proof of up to date vaccinations are required (Rabies, 5-way or DHP-Pv+L4, and Bordetella or kennel cough.)
Groom-- package includes haircut, Brazilian blow out (force dryer,) Regular Mani/Pedi (nail trim,) and expression of anal glands.
Bath (regular drying)
Bath and Brazilian blow out (with force dryer)
Sanitary Trim
Mani/Pedi (regular nail trim)
Mani/Pedi (nail trim with buff)
Express Anal Glands
Teeth Brushing
Other type of service NOT listed above:
*
Please see Boarding page to request a reservation.
Comment
*
Submit
Home
Our Team
About Us
Services
Contact Us
Columbia
>
Small Animal Appointment Request- Columbia
Boarding Reservation- Columbia
Food & Prescription Refill Request- Columbia
Russell Springs Location
>
Appointment Request
Boarding Reservation - Russell Springs
Food & Prescription Refill Request
Client & Patient Forms
New Client Form
Registration Form: Surgery, Daycare, Boarding, & Grooming
Patient Exam: History Questionnaire
Teeth Cleaning Consent
Record Release Form
Success Stories & Reviews
Download Our App!
Client Resources
Petly: Online Pet Records
Pet Health Network
American Animal Hospital Association
AAHA Accredited Hospital Locator
Care Credit
Home Again Microchip Registration Renewal
Universal Pet Microchip Lookup Tool- AAHA
Office of the KY State Veterinarian
UK Department of Agriculture- Animal & Food Science
Community Involvement
Animal Wellness
Emergency