ADAIR COUNTY ANIMAL HOSPITAL & LASER SURGERY CENTER
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Appointment Request
Boarding Reservations
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New Client Form
Admit / Registration Form
Patient Exam Questionnaire
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Record Release Form
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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.
Contact me about my pet's boarding reservation request via:
*
Phone Call
Text Message
Email
PET'S NAME:
*
PET'S GENDER:
*
Female
Spayed Female
Male
Neutered Male
Unknown
TYPE OF ANIMAL:
*
Cat
Dog
Other (Please specify in the box below.)
Other type of animal:
*
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.
Accommodation 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 the clinic's dry food (included in fee.)
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 fed on a twice daily schedule. Please choose a different selection if applicable.
*
I am okay with twice a day feedings.
My pet will need to be fed 3 times daily.
Free Choice feeding: food bowl kept full at all times.
Once in the morning only
Once in the evening only
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 minute increments)
Extra Human Interaction Playtime (15 minute increments)
Both Alone Playtime and Human Interaction Playtimes (15 minute increments)
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 boarding.
*
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 your pet's boarding stay.)
EXAM TYPE:
*
Puppy/ Kitten Wellness or Booster Exam (under 6 months old)
Adult Annual Wellness/ Bi-Annual Wellness Exam (over 6 months- 7 years old)
Senior Wellness Exam (over 7 years old)
Adult or Senior Booster 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 Procedure)
VACCINATIONS:
*
5-way or DHP-Pv+L4 (basic canine vaccine)
Lepto bi-annnual only (canine)
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.
DIAGNOSTICS & LAB WORK:
*
Fecal- intestinal parasite screening
Canine heartworm test (plus 3 tick-borne diseases)
Feline heartworm test (plus Leukemia and Feline Immunodeficiency Virus (FIV) screening
General Blood Work: Complete Blood Count, Electrolytes, and Chemistry
Complete Blood Count only
Diabetic Blood Work
Thyroid Blood Work
Urinalysis and Sediment
Ultrasound
Digital X-Ray
Other
ANESTHETIC PROCEDURE:
*
Teeth Cleaning & Digital Dental X-Ray
Canine Neuter - Laser
Canine Spay - Laser
Feline Neuter - Laser
Feline Spay - Laser
Other Laser Surgery
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:
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Adequan Injection
Allergy Injection (Hyposensitization)
Stanozolol Injection
Massage Therapy
Laser Therapy
Behavior Training
Weight Check
DAY SPA OPTIONS (Appointment slots are limited.)
*
Groom-- package includes haircut, Brazilian blow out (force dryer,) Regular Pedicure (nail trim,) and expression of anal glands.
Bath (regular drying)
Bath and Brazilian blow out (with force dryer)
Sanitary Trim
Deluxe Pedicure (nail trim with a smoothing buff)
Pedicure (regular nail trim)
Express Anal Glands
Teeth Brushing with an Enzymatic Pet Toothpaste
Other type of service NOT listed above:
*
Please see Boarding page to request a reservation.
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About Us
We are AAHA Accredited!
Our Team
Success Stories & Reviews
COVID-19 Policies
Community Involvement
Services
Contact Us
Emergency
Appointment Request
Boarding Reservations
Refill Food & Prescriptions
Forms
New Client Form
Admit / Registration Form
Patient Exam Questionnaire
Teeth Cleaning Consent
Record Release Form
Pet Owner Resources
Petly: Online Pet Records
Pet Health Network Library
Payment Options
>
Trupanion Pet Insurance
Scratchpay
Care Credit
Refer A Friend
Wellness Plans
Wellness Plans Frequently Asked Questions
Puppy & Kitten Plans
Adult: Dog & Cat Plans
Apply