Please select your clinic: *

Owner's Name *

First

Last

Phone *

Email *

Pet's Name *

Reason for Drop-Off *

Are there any other services you would like to add for your pet today (check all that apply)?

If other, please specify *

Are there any allergies, behaviors, or vaccine reactions we should be made aware of? *

Yes
No

If yes, please explain *

How often do we need to walk your pet while he/she is day boarding with us? *

We do not typically feed pets while they are day boarding unless you provide your own food. Does your pet need to be fed during day boarding? *

Yes
No

If yes, what food and how much/often? *

Do we have your permission to give your pet a treat while staying with us? *

Yes
No

*We provide Milk Bone treats for dogs and Friskies crunchy treats for cats

Questions for the veterinarian

What time will you be picking up your pet today? *

What is the best contact number where you can be reached today? *

By signing this form, I understand that Express Vets is not permitted to have overnight boarders. I must pick up my pet(s) before the clinic closes at 5:30pm (M-F). If I fail to pick up my pet(s) before the clinic closes, I understand Express Vets staff may make other arrangements for my pet(s), and I will be responsible for any fees or costs associated with regaining possession of my pet(s). *

I have read and understand

Signature *

Date *

Express Vets
Drop Off Admission Form

Use the form below to submit your drop-off admission form.

We look forward to seeing you and your pet!

Author

Express Vets Drop Off Admission Form

Use the form below to submit your drop-off admission form.

We look forward to seeing you and your pet!

Author

Express Vets
Drop Off Admission Form