ACAH Columbia office Boarding Reservation Form

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Adair County Animal Hospital- 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.)

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: *

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 *

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): *

Frequency of Extra Human Interaction Playtime: *

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: *

Additional fee: based on the number of times per day.

2nd Medication Frequency Given: *

3rd Medication Frequency Given: *

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

Adair County Animal Hospital (Main Location)- Columbia

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Pet Owner Resources

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Pet Health Network
American Animal Hospital Association (AAHA)
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