SEMINOLE TRAIL ANIMAL HOSPITAL ADMISSION FORM/ OWNER RELEASE
Client Name: ____________________________________
Pet Name: _____________________
*All animals must be protected against communicable contagious diseases and free of external parasites
(fleas/ticks) when admitted; or must be treated upon admission or discovery at the owner’s expense.
*All dogs must have current immunizations against Rabies, Distemper, Parvovirus, Bordetella, Canine
Influenza, and a negative Heartworm test. All cats must have current immunizations against Rabies,
Distemper, Rhinotracheitis, and Calicivirus. All animals must have had a fecal examination for internal
parasites within the last 12 months.
*Be aware that your pet's diet may vary while here if you do not bring your own food. She/He also may
bark at other animals. This can create problems such as a sore throat, tonsillitis, or diarrhea. We seek to
prevent such problems, but please understand that these problems do develop.
*I understand you cannot guarantee the health of my pet. I understand and will not hold the clinic
responsible for conditions that are unavoidable in boarding kennels, such as but not limited to weight loss,
hair loss, upper respiratory infections, bronchitis, diarrhea, and external parasites (ex: fleas, ticks, etc).
*I understand that in the event of my pet’s illness, the staff will immediately attempt to contact me or my
agent to discuss the problem and treatment options, but may not be able to contact me immediately and is
therefore authorized to initiate appropriate treatment until myself or my agent can be reached.
*Should an EMERGENCY arise, I authorize the medical staff to treat my pet and/or perform such
emergency procedures as may be necessary for the health of my pet until I can be notified. I agree to pay,
in full, all charges for necessary services rendered for and to my pet.
*The clinic is to use all reasonable precaution against injury, escape, or death of my pet. The clinic and
staff will not be held liable for any problems that develop provided reasonable care and precautions are
followed. I understand that any problem that develops with my pet will be treated as noted above and I
assume full responsibility for the treatment expense incurred. Owners will be charged the appropriate fees
for all treatment and medication needed for reasons that are not directly under our control.
Initials: _________
*Some pets require sedation for adequate physical exam, treatment, surgery, or dentistry. May we sedate
<animal> if necessary? Yes No Call first. After examination by the doctor may we proceed with
tests/treatment? Yes No Call first
PERSONAL BELONGINGS: We have assorted blankets, towels and bowls for all boarding animals.
Personal items such as toys, blankets, and other items may be left with your pet. We cannot accept collars
and leads. We do ask that any item brought from home be labeled with a permanent marker with the guest's
name and your last name. All items will be monitored and washed as needed. While we do our best to
safeguard any personal belongings that you may drop off with your pet, occasionally items do get
misplaced. Dr. Williams, for safety reasons, will determine what personal items may stay in the boarding
facility with your pet. Seminole Trail Animal Hospital cannot be held responsible for loss or damage to
any items left with your pet. We will do our best to try and ensure all items will be returned upon
checkout.
Initials: _________
*All financial obligations must be satisfied with the business office before your pet is dismissed from
Seminole Trail Animal Hospital.
Date:_______Owner/Agent:_____________________________________________________________
In case of emergency, contact: ____________________________________________________________
I would or would not like to receive text message updates during my pet’s vacation. I would or would not
like to receive picture messages. Please send to this number: _________________________________________