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

Color/Markings(Required)

Boarding Stay Details

Drop-Off Date(Required)

Time(Required)

Pick-Up Date(Required)

Time(Required)

For Dogs – Housing Preference(Required)

Kennel Space

Suite

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

Veterinary Information

Upload Prior Records(Required)

Max. file size: 8 MB.

Upload Prior Vaccination 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

Food allergies or sensitivities(Required)

Personal Items

Items brought with pet(Required)

Food

Treats

Bedding

Toys

Medication

Other

We don’t encourage bringing plush or rope toys to avoid any possible ingestion. Kong toys, Nyla bones (NOT rawhide), or durable toys are welcome. Bedding is provided, but a blanket or even shirt with your scent is fine to bring.

Brooke will be the one getting in touch after we review the form