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  • 931-647-2800 Tiny Town Animal Clinic
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Boarding Requirements and Release Form

"*" indicates required fields

Client Info

Email
Address*

Patient Info

Species

MM slash DD slash YYYY

Medical History

All patients left in our care must have the following vaccinations current within the time period specified. Vaccinations are only valid if given in a veterinary facility. Dates of last vaccinations must be provided. If it is found that your animal is not current on vaccines, they will be given while your pet is here and the fee for those vaccinations will be applied to your boarding bill. Your animal must have had a negative fecal examination within the last 12 months.

CHECK YES IF DUE. CHECK NO IF PATIENT IS CURRENT.
DHLPP (1 year)
Bordetella (6 months)
Rabies (1 year)
Fecal Exam (1 year)
Heartworm Test 4DX
FVRCP (1 year)
Bordetella (1 year)
Rabies (1 year)
Fecal Exam (1 year)
Do your pet(s) need Heartworm &/or Flea/Tick Prevention refilled?*
Would you like your pet bathed?*
Are any medications necessary while boarding?*
I understand if I choose to pick up my pet(s) on Sunday at 5:00pm, I am still responsible for the boarding fee incurred for that night.

Additonal Requirements:

1. All animals must be free of external and internal parasites (ex. ticks, fleas, worms etc.), or they will be treated at owner's expense.
2. has my permission to do whatever is necessary should an emergency or illness arise.
3. If a tranquilizer is necessary for treatment or handling, has my permission to administer such medication.

I have read the boarding requirements and understand the hospital's policies.
Reset signature Signature locked. Reset to sign again
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.

OTHER FORMS:

  • Boarding Requirements / Release Form
  • Elective Surgical Release Form
  • Welcome Form



LOCATION

FAMILY PET HOSPITAL (EXIT 11)
Family Pet Hospital
530 New South Dr.
Clarksville, Tennessee

TINY TOWN ANIMAL CLINIC (EXIT 1)
1815 Tiny Town Rd.
Clarksville, TN 37042

HOURS

FAMILY PET HOSPITAL (EXIT 11)
Mon, Wed, Fri: 7:30am – 5:30pm
Tues & Thurs: 7:30am – 5:30pm
Sat: 8am – 12pm
Sun: Closed

TINY TOWN ANIMAL CLINIC (EXIT 1)
Mon – Fri: 8am – 5:30pm
Sat: 8am – 12pm
Sun: Closed

CONTACT US

FAMILY PET HOSPITAL (EXIT 11)
(931) 358-5855
info@fphvet.com

TINY TOWN ANIMAL CLINIC (EXIT 1)
(931) 647-2800
info@tinytownvet.com

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