Phone: (409) 755-6100

500 S Main St, Lumberton, TX 77657

Main Street Veterinary Clinic

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*Appointments are not guaranteed. If it's an emergency please call practice.

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Boarding Release Form

"*" indicates required fields

Boarding Rate is Subject to Change Without Notice-Current $30-40/night+tax
Client Name
MM slash DD slash YYYY
MM slash DD slash YYYY
Species
Age
Years
Month
Canine Boarding $30/night + tax – Special Handling Fees May Apply ($8/day)
Feline Condo Boarding $22/night + tax
Feline Luxury Boarding $30/night + tax (NEED to request in advance)
Do you want a bath at the end of stay?
($30-50 + tax Additional Fee) If Yes, Pick-up AFTER 3pm unless Called
Vaccinations Needed

EMERGENCY CONTACT INFORMATION

Owner Name
Local Agent

Feeding Instructions

Feeding Instructions
(Label Owner's food)
# of Meals/day*
Medication Admin. ($5/day additional fee)
Drug Name
How much?
How Often?
 
USE STICKERS ON DAILY FORMS

Pick-up Times

Boarders are released ONLY during our normal office hours. We will NOT release a pet before or after our normal office hours or on days when we are closed (i.e. Saturdays, Sundays & Holidays). If you have requested to have your pet bathed at the end of their stay, please pick your pet up after 3pm to allow for adequate drying time.

Vaccination/ Parasite Control Requirement

For your pet's protection, proof of current vaccination is required at the time you drop-off your pet. It is the policy of the Main Street Veterinary Clinic that all dogs boarding ($30/night) with us are current on their rabies ($25), distemper-parvo ($25), influenza ($30) & bordetella ($20) vaccinations and that all cats be current on their fvrcp ($20) & rabies ($20) vaccination. If this information is not provided at the time you drop-off your pet, your pet will be vaccinated immediately following a complete physical examination by one of our veterinarians at an additional cost to you. In order to maintain a flea-free environment for all of our guests, all pets that arrive for boarding are inspected for evidence of flea infestation. If your pet is found to have fleas, it will be treated at your expense. If you recently applied prescription flea control to your pet, please indicate below:
MM slash DD slash YYYY
( Please note: if we notice pet has live fleas, additional flea control will be administered at your expense ($30), regardless of when recent product was applied)

Boarder Belongings

Items

Boarder Belongings

Boarding guests are welcome to bring toys, food and medication. WE provide clean blankets, bedding and bowls. We ask that you take your leashes and/or collars at time of drop off so they are not lost or misplaced. If boarding your feline, PLEASE label your carrier before you drop off to make easier at discharge. Although we make every effort to care for these items, Main Street Veterinary Clinic WILL NOT be held responsible for belongings that are lost or damaged.

Bath(Prices vary up to $50-add’l charges may apply)

If you wish to have your pet bathed at the end of their stay, additional charges will apply. To ensure your pet is dry at the time of pick-up we will ask that you pick your pet up after 3 pm.
( Initial Here )

Additional Services Request

Please note if you would like any additional services for your pet while staying with us that these services are provided at additional cost (some are + tax).

BOARDING AUTHORIZATION

I am the owner/agent for the pet mentioned above, and I have the authority to execute this consent. I authorize the veterinary staff at Main Street Veterinary Clinic to treat my pet if it should become ill while boarding until I can be reached and to do whatever is necessary should an emergency situation arise. I understand that medical supervision is available during normal office hours. I authorize outdoor leashed walks for my pet and exercise in a fenced yard. I understand that any examination, bath, vaccines, special handling charges, etc are at additional cost to me and are subject to change without prior notice. I have read and understood the policies stated above and understand that payment is due at the time of pick-up.
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.

© 2023 Main Street Veterinary Clinic

Phone: (409) 755-6100 Address: 500 S Main St, Lumberton, TX 77657

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