Boarding Consent Form (02) 9388 2551 Book Online Please fill out the Boarding Consent Form prior to your pet's stay with us. Boarding Consent Form Your Details: Client Name: * Client Phone: * Client Email: Patient Details Patient Name: * Sex * Female Male Breed: * Colour: * Age: * Weight: * Boarding Details: Arrival Date: * Departure Date: Are the patient's vaccinations up to date? * Yes No Is the patient's Flea and worming prevention up to date? Yes No If no, do you give permission for Rose Bay Veterinary Hospital to provide the patient with appropriate flea and worming prevention * Yes No I am happy for Rose Bay Veterinary Hospital to use my pets photo on social media? * Yes No Is the patient receiving any medication or on a special diet? * Yes No If yes, what medication (include dose and frequency) or diet is the patient receiving? * I authorise Rose Bay Veterinary Hospital to carry out any treatment that may be deemed necessary whilst the patient is under their care. * Yes No Your Name: * Signature signature keyboard Clear Captcha Submit If you are human, leave this field blank. (02) 9388 2551 Book Online