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Boarding Agreement Form

Name: Southside Veterinary Clinic
Address: 16917 S Memorial Dr, Bixby, OK, 74008, United States
Telephone: 918-366-6458
Price range: $

Please fill out the following form before your boarding appointment.

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Thank you for choosing us!

Please fill out the following form below before your boarding time with us. Once we review your information, a team member will contact you if we have any questions. If you have any questions, please call us at 918-366-6458.
You can also download this form to print and fill out at home by clicking the button below.

Please note: This agreement form does not book your pets for boarding. Please call the office at 918-366-6458 to book your pets.

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Boarding Agreement Form

Pet's Name *

Breed *

Sex *

Age *

Owner's Name *

First

Last

Email *

Boarding Start Date *

Drop off & pick up times are our normal business hours: Mon-Fri 8-5:30, Sat 8-12. No after hours boarding pick up/drop off.

Boarding End Date *

Drop off & pick up times are our normal business hours: Mon-Fri 8-5:30, Sat 8-12. No after hours boarding pick up/drop off.

The doctors and staff at Southside Veterinary Clinic are pleased that you have chosen our facility to board your pet(s) while you are away. Rest Assured that your pet's health and best interest are our primary focus. With this in mind, please take the time to read and fill out the following information.

Vaccination Information

VACCINATIONS ARE REQUIRED TO BOARD YOUR PET. Please list the date, location, and phone number of the place your pet was last vaccinated.

Date *

Location *

Phone *

I understand that if proof of up-to-date vaccinations is not present, SVC will give the required vaccinations for boarding (Dogs:DAP/BORD/FLU/RV,Cats:FVRCP/RV). *

Read above statement and sign initials.

Healthcare Information

In the event of an illness or emergency with your pet(s), Southside Veterinary Clinic will exhaust every possibility to contact you immediately.

In the event of an emergency (i.e. life threatening) if I cannot be reached at any of the numbers below, I want my pet(s) to be treated. *

Should an illness arise during my pet(s) stay I want my pet to be treated (i.e. coughing, diarrhea, vomiting). *

I DECLINE all medical treatment (except required vaccinations) for my pet while boarding at Southside Veterinary Clinic and I will not hold the clinic responsible should any health problems arise which were beyond clinic's control (i.e. seizures, stroke, vomiting, diarrhea, etc.)

(Sign initials ONLY IF you decline treatment)

I understand that my pet(s) will be treated for fleas, ticks and/or internal parasites (worms) at my expense, if they are detected. *

(Sign initials)

I understand that if I anticipate my pets' stay may/will exceed 21 days, I am required to pre-pay at least 50% of the boarding charges. *

(Sign initials)

Boarding Details & Services

Dogs will be boarded in a 5' x 10' run indoors, climate controlled temperature. Each dog will be taken outside individually once daily and allowed a short play time in our 20' play pens (separate from other dogs). If your dog is aggressive or does not leash walk properly, we may not take them out. Please ask to see our cat facilities, if you wish. We do not walk cats outside for obvious reasons. Additional, optional services include:

Bath (Bath only, no grooming $17.76) *

Toenail Trim ($21.32) *

Special Instructions

Medications: Please provide name, dose & frequency.

(Cost is $3.81 extra per dose given during business hours. $13.86 per dose on closed hours (i.e. Sat evening/Sunday).
$6.96 per injection during regular hours, $19.987 per injection after hours).

Begin Medications

This morning
This evening
Other

Other Needs or Food Instructions

Items Being Left With My Pet Are:

(Please permanently label)

Contact Information

Cell Phone or Destination Number *

Emergency Contact Name *

Emergency Contact Number *

Signature *

Date *

Patient’s Vaccine Records

Click or drag files to this area to upload. You can upload up to 5 files.

We proudly serve the pets of Bixby, OK and beyond.

We focus on promoting your pet’s health so that they may live a long and healthy life.

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Questions?

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Contact Information

Phone: 918-366-6458
Email: [email protected]

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Location

16917 S Memorial Dr
Bixby, OK 74008

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Hours

Mon - Fri: 8:00 am- 5:30 pm
Sat: 8:00 am - 12:00 pm
Sun: Closed

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Email *

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