Coble Animal Hospital - Boarding Intake Form

Facility Access Requirement

Please review our boarding policies and procedures prior to request

Our boarding facility is located on the lower level of the clinic.

A full flight of stairs is required for entry and exit.
Pets must be able to safely walk up and down stairs independently.
Pets under 30 lbs may be carried by staff.

If your pet cannot safely use stairs, please notify staff prior to scheduling.

Owner Information

Full Name(Required)

Primary Phone(Required)

Email(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Consent to use pictures of your pet on our social medias(Required)

Yes

Emergency Contact (Required)

Name(Required)

Phone(Required)

This contact must be authorized to make medical decisions if you are unavailable.

Pet Information

Pet Name(Required)

Species(Required)

Dog

Cat

Breed(Required)

Date of Birth / Age(Required)

Sex(Required)

Male

Female

Spayed/Neutered(Required)

Yes

Color/Markings(Required)

Boarding Stay Details

Drop-Off Date(Required)

Pick-Up Date(Required)

For Dogs – Housing Preference(Required)

Kennel Space

Suite

Note: Housing preference is not guaranteed and is subject to availability.

Add-On Services (Optional)

Would you like to add activity sessions? (Up to 2 daily, $10.40 per session)

Yes

How many playtime sessions would you like per day?(Required)

1 playtime per day (+$10.40 per day)

2 playtimes per day (+$20.80 per day)

Would you like to add a photo package? (+$5.00 per stay, includes 3 photos)

Yes

Would you like to add a nail trim? (+$25.00)

Yes

Would you like to add a basic bath? (Pricing varies by pet weight and length of stay)

Stays longer than 3 days have a discounted price.

1–30 lbs (Less than 3 days — $35.00)

31–50 lbs (Less than 3 days — $45.00)

51–70 lbs (Less than 3 days — $55.00)

71+ lbs (Less than 3 days — $65.00)

1–30 lbs (3+ days — $30.00)

31–50 lbs (3+ days — $35.00)

51–70 lbs (3+ days — $40.00)

71+ lbs (3+ days — $45.00)

Veterinary Information

Upload Prior Records(Required)

Max. file size: 8 MB.

Medications

Is your pet currently on medication?(Required)

Yes

If yes, please complete below

Medication Name

Dosage

Frequency

Medical Conditions

Please list any current or past medical conditions that could affect their stay(Required)

Allergies

Does your pet have any known allergies?(Required)

Yes

If yes, please specify

Behavior and Temperament

Has your pet shown aggression toward other animals or people?(Required)

Yes

If yes, please explain

Additional behavioral notes (fear, anxiety, escape risk, etc.)(Required)

Feeding Instructions

Owner Provided Food:(Required)

Yes

If no, authorize clinic-provided food

Yes

Food Brand/Type(Required)

Feeding Schedule (times per day)(Required)

Amount per Feeding(Required)

Bowls are provided, unless a special feeder is required for your pet.

Can be given treats?(Required)

Yes

Personal Items

You are welcome to bring personal items for your pet’s stay. We recommend durable toys such as Kong toys or Nylabones (not rawhide). Bedding is provided, but you may also bring a blanket or an item with your scent for added comfort.

We do not encourage bringing plush or rope toys to avoid potential ingestion risks.

Brooke, our Boarding Coordinator, will review your submission and be your main point of contact throughout your pet’s stay.

Client Type