Borash Veterinary Clinic
79 Prospect Street
Peabody, MA 01960
(978) 531-8713 ~ Fax (978) 532-1046
Web - borashvet.com ~ E-mail - info@borashvet.com
BOARDING POLICY & ADMISSION SHEET
Owners Name: _______________________________________________________
Pet’s Name: _______________________
Species: _________________________Breed: __________________________
Color: __________________________ Markings: _______________________
Age: ___________________________Sex: ___________________________
Admission Date: ________________ Pick Up date:___________________ Approximate time:____________
Temperament
 Good  Nervous  Aggressive
Good with other animals  YES or  NO
Feeding Instructions
 Own Food Brought in
Brand:___________________ Amount:__________________ Frequncy:______________
 Use hospital supply of Purina EN (a bland diet) - an additional fee will be charged for this
Special Care Instructions: _______________________________________________________________
Date of last dose of flea & tick medication: ______________________________ Type: _____________
Date of last dose of heartworm / intestinal parasite medication: _______________ Type: ____________
Any allergies / sensitivities? : _____________________________________________________________
Dogs must be current on Rabies, Distemper (DHPP), and Kennel Cough vaccines. They also need to have
a negative fecal test, a negative heartworm test, be on heartworm prevention, and have a current dose of an
approved topical flea preventative.
All cats must be current on Rabies, and Distemper (FVRCP) vaccinations, have a negative Leukemia / FIV
test, a negative fecal examination, and have current dose of an approved topical flea preventative
Vaccinations can be updated at the time of the visit, or ideally ahead of time.
If evidence of fleas is visible on your pet, an oral or topical medication will be administered.
Bedding, toys, and dishes are provided. If personal items accompany your pet, they may not be returned…
Daily medication schedules can be accommodated, there is an additional fee. Please bring your pets
prescription with you.
A complimentary bath in included in 5 days or more of boarding for dogs. Our groomer can provide you
with an estimate for a full grooming if needed.
In the event you cannot be reached at the contact numbers listed, rest assured, Borash Veterinary Clinic
will take all reasonable actions to ensure the health and safety of your pet.
For new patients boarding with us, we do charge an office visit fee.
There is an examination fee for animals that are not current on vaccinations.
The boarding fees are charged per day (i.e. for the first and last day, regardless of what time the animal is
picked up.)
Please let us know when you anticipate picking your pet up to help us expedite the process.
Pickups are available during our regular business hours.
 I have read the above terms and agree with the conditions.
Signature: _____________________________________________________Date: _______________________
Person to contact in the event of an Emergency: ___________________________________________________
Phone Number: ____________________________________________________________________________
Please bring this form with you when you come to our office so it can remain in your records with us.
Thank you for choosing us as your pets boarding facility,
Please us know if you have any questions!