Boarding Consent Form

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(02) 9388 2551

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

Is the patient's Flea and worming prevention up to date?

Yes

If no, do you give permission for Rose Bay Veterinary Hospital to provide the patient with appropriate flea and worming prevention *

Yes

I am happy for Rose Bay Veterinary Hospital to use my pets photo on social media? *

Yes

Is the patient receiving any medication or on a special diet? *

Yes

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

I wish Rose Bay Veterinary Hospital to contact me prior to any treatment for illness detected whilst the patient is under their care. *

Yes

In case of emergency I can be contacted on: (Phone) *

In case of emergency I can be contacted on: (Email) *

Your Name: *

Signature

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(02) 9388 2551

info@rosebayvet.com.au

8 Newcastle St,
Rose Bay, NSW 2029

Opening Hours

Mon-Thurs 8am-8pm
Fri: 8am-7pm
Sat: 9am-4pm
Sun: 10am-12pm
House Calls: Mon-Fri 12pm-4pm

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