DAYCARE/BOARDING CONSENT FORM

This agreement shall apply to all boarding or daycare visits by your pet(s) to Jersey Village Animal Hospital.

Please initial next to every point to indicate that you have read and understand.

BELONGINGS/FOOD:

If my pet runs out of provided food, I would like them to be fed the kennel stock gastrointestinal diet.


MEDICATIONS:

IN EVENT OF EMERGENCY:


CPR/DNR Directive

If your pet experiences respiratory and/or cardiac arrest while admitted. Cardio-pulmonary resuscitation (CPR) is a difficult subject for many people, but one that is very important to review.

We are requesting that you choose whether or not you want us to revive your pet in the unlikely event that your pet experiences respiratory and/or cardiac arrest.

CPR/Resuscitate

DNR/Do Not Resuscitate


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Additional Emergency Contacts (Authorized Representatives for Owner)