Roper Mountain Animal Hospital
14 Roper Corners Circle
Greenville, SC 29615
(864)297-9190
Client Name/ID
Date
Pet’s Name
Sex
Species
Breed
It is understood that I assume all risks associated with boarding my pet(s) and will not hold Roper Mountain
Animal Hospital responsible or liable for any circumstances that may occur from the care, treatment or
safekeeping of my pet(s). In case of illness or injury, I, the undersigned, do hereby give my consent for the
doctors and staff of Roper Mountain Animal Hospital to treat, prescribe medications, or perform surgery on
my pet(s) while they are boarding. All reasonable efforts will be made to contact the owner at the emergency
phone number listed before proceeding. Roper Mountain Animal Hospital is to use all reasonable precautions
against illness, injury of escape of my pet(s). Should my pet(s) remain unclaimed after the agreed upon
discharge date, I agree that my pet(s) may considered abandoned. Written notice of abandonment will be
mailed to my home address. If my pet(s) remain unclaimed, I agree that I release all claim to my pet(s) and
that it may disposed of as the hospital deems necessary.
Abandonment will not release me from payment if services rendered.
All pets must be current on vaccinations. Dogs: DHPP, BORDETELLA, RABIES Cats: FVRCP, RABIES.
Pets without proof of vaccination administered by a licensed Veterinarian will be vaccinated at the owner’s
expense.
All pets must be free of external parasites (fleas, ticks, ear mites, etc.) Pets with external parasites will be
treated at the owner’s expense.
Puppies and kittens under 16 weeks of age are more susceptible to diseases, infections and parasites than
older dogs or cats. While every effort will be taken to avid exposure, these pets are at higher risk wile
boarding I understand and assume all risks associated with boarding a puppy or kitten. Pets will be checkedin and discharged for boarding only during normal business hours.
Admission Date
Discharge Date
Feeding Instructions
Medications to be given
Please list any health concerns for your pet
Belongs left with my pet
Is your animal on any flea or tick medication?
If so, which one?
If not your animal will be given Comfortis when they begin boarding at your expense. The is for the safety and
well-being of your pet, as fleas and ticks can be outside when we are walking them.
All efforts will be made to keep your pet’s belongings intact, however, understand that as Owner, you
assume all risks involved with the loss of belongings due to destruction, etc.
Treatment needed while boarding
Signature of owner
Emergency Phone Numbers