Culebra Creek Veterinary Hospital & Resort: Pre-Boarding Check-In Form

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Pet Name(s)* This field is required.

Fluffy

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Pet Parent Name* This field is required.

John Doe

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Phone Number* This field is required.

Area Code

Phone Number

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Email* This field is required.

example@example.com

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Arrival Date & Time* This field is required.Mon - Fri: 8:00am – 6:00pm Sat: 9:00am – 1:00pm Sun: Closed

Date

Hour

Minutes

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Departure Date & Time* This field is required.Mon - Fri: 8:00am – 6:00pm Sat: 9:00am – 1:00pm Sun: Closed

Date

Hour

Minutes

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We are excited to offer boarding options to ensure your pet has the most comfortable stay possible!

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Nightly Boarding Services

Standard ($32-$53): includes bedding, up to 3 mealtimes, personal water and feeding bowls

Waggin' Fun (+$17): includes bedding, up to 3 mealtimes, personal water and feeding bowls, daily gourmet kong, daily cuddle and storytime

Stay and Play (+$21): includes bedding, up to 3 mealtimes, personal water and feeding bowls, daily gourmet kong, daily cuddle and storytime, daily puppy postcard

Pawsitively Perfect (+$34): includes bedding, up to 3 mealtimes, personal water and feeding bowls, daily gourmet kong, daily cuddle and storytime, daily puppy postcard, daily individual playtime

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If you have multiple pets from one household, do we need to separate them during boarding?

YESNO

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Treat your pet to a Holiday Dinner during their stay!

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Would you like to add a Holiday Dinner to your pet's stay?Holiday Dinners are $15.

YESNO

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We are proud to offer spa and pampering options to ensure your pet has the most relaxing stay possible!

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Spa OptionsCheck all the apply. All spa services are completed on the last day of stay. Please be sure to let us know pick-up time for services. Price determined by weight. Based on availability. Please call to schedule.

Nail Trim

Bath

Anal Gland Expression

Ear Cleaning

Haircut w/ Groomer

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When would you like your one-time services performed?ex. Postcard - Saturday before pick-up

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When would you like your one-time services performed?ex. Kong - Saturday before pick-up

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Completing annual exams, updating vaccinations and performing other preventative care is highly recommended during boarding stays due to our ability to observe your pet for an extended period of time and the added convenience to you. Would you like your pet to receive any of the following services during their stay:

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Would you like to add any Recommended Preventive Care?*If Heartworm or Flea Prevention is selected, our staff will contact you to discuss the best options for your pet.

Comprehensive Exam with Complimentary Dental Exam

Canine Flu Vaccine

Canine Lepto Vaccine

Heartworm Test

Heartworm & Flea Prevention

Fecal Screen for Parasites

Blood Work to Assess Kidney & Liver Function

Feline FIV/Leukemia Test

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Please indicate any concerns you may have about your pet that our doctor should be aware of during the Comprehensive Exam:

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Would you like to add any Specialty Tests?

Ear Infection Check

UTI Check

Lumps & Bumps Check

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Are you interested in learning more about microchipping your pet?

YESNO

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We are almost done! To confirm your pet recieves the right care, please fill out the information on the next page.

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Will you be providing your own food?* This field is required.

YESNO

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Feeding Instructions Please include amount and frequency.

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If your pet is not eating OR they have run out of the owner-provided food, we may feed your pet:Select all that apply.

House Food

Hills I/D Wet Food

Chicken Broth

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If you have multiple pets from one household, do we need to separate them during feeding?

YESNO

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Will your pet require medication during their stay? * This field is required.

YESNO

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Medication Instructions* This field is required.Please include type, dosage and frequency.

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Does your pet have any allergies?* This field is required.

YESNO

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Allergies* This field is required.Please list any allergies and steps to be taken in the event of an emergency.

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Vaccination Records Please upload your current vaccination records if they are not already on file.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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Anything else you would like us to know?

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Pet Parent Signature* This field is required.

Clear