Boarding Form

BOARDING INFORMATION, WAIVER, AND RELEASE FORM By signing below, I acknowledge that I have read and fully understand the terms of this Boarding Information, Waiver, and Release Form and I accept the terms and conditions contained herein. FINANCIAL RESPONSIBILITY: The owner shall pay all costs and charges of and for special services listed in this agreement and all veterinary and medical costs that may be incurred during the term of this agreement for the animal pursuant to this agreement. OWNER CERTIFICATION: The owner certifies to the correctness of the information given above with respect to the animal and specifically agrees to be bound by the terms and conditions of this agreement. The owner specifically represents that (he/she) is the owner of the animal and that there is not now any lien or other encumbrance against the animal, and that the animal has not been exposed to Rabies prior to admittance to the custody of BDAH. LIABILITY WAIVER: All necessary precautions are taken to prevent injury and the escape of your pet. Blue Diamond Animal Hospital will not be held liable for problems that develop, provided that reasonable care and precautions are followed. In the event of a medical emergency, we will contact all phone numbers provided to seek approval for veterinary treatment. Owner shall be solely responsible for all of the acts of the animal at any time during the term of this agreement, and in no case shall BDAH be liable for the animal's acts and behavior other than for the exercise of gross negligence on the part of the BDAH, its owners, employees or agents in the boarding and keeping of the animal. Owner shall indemnify BDAH from and against any and all damages sustained or suffered by reason of the boarding of the animal for any claims or injuries arising out of the boarding of the animal except where the injury is caused by the gross negligence of BDAH or its owners, employees or agents. PRE-EXISTING CONDITIONS DISCLAIMER: The owner agrees that BDAH will not be held responsible for the aggravation of any pre-existing medical conditions. These include but are not limited to heart disease, arthritis, obesity, infections, and any other conditions that might be discovered by examination. LATE PICKUP FEE NOTICE: If you are unable to pick up a patient at the scheduled pickup time, you must call before 48 hours. Otherwise, there will be a charge of $25 inconvenience fee in addition to the additional night fee. PERSONAL BELONGINGS WAIVER: I agree that I understand Blue Diamond Animal Hospital will not be responsible for any of my belongings and any emergency that may happen due to the items that I choose to leave with my pet. EMERGENCY CARE AUTHORIZATION: In the event that my pet(s) becomes ill, the owner shall be notified as soon as possible at the address or phone number listed above. However, if BDAH is unable to reach the owner regarding measures to be taken or the emergency contact BDAH has the right to diagnose or treat the pet within BDAH discretion. Any expenses incurred in conjunction with such care are the owner's responsibility and shall be promptly paid by the owner. CPR AUTHORIZATION: Your pet may require cardiopulmonary resuscitation (CPR), including cardiac compressions, positive pressure respiration, emergency medications, or other interventions. If I request such emergency procedures, I agree to be held responsible for veterinary services provided to my pet while staff members pursue treatment and try to reach me for further directions. Regardless of my pet's recovery or survival, I agree to pay CPR fees in addition to other fees already identified by the practice and agreed upon by me. By declining CPR, in the unlikely event my pet becomes unresponsive during their stay, I consent to allow my pet to pass away without intervention. FECAL TEST ACKNOWLEDGMENT: I understand that in the event that my pet has a positive fecal, at the owners' expense Blue Diamond Animal Hospital will treat and dispense medication. VACCINATION REQUIREMENTS: For the safety of all our patients, Blue Diamond Animal Hospital requires all boarders to have proof of current vaccinations. We reserve the right to turn away any border that is past due for vaccines.