Client Name First Last Patient Name*Boarding Start Date* MM slash DD slash YYYY Boarding End Date* MM slash DD slash YYYY Cats, as a species, are easily stressed by boarding. If your cat is not eating well on his own, we may try additional types of food (unless he is on a special diet), administer appetite stimulants and/or we may feed a high calorie diet by syringe. Doctor’s evaluations are not included in the fee for boarding. If it becomes necessary for a doctor to evaluate your cat's condition while boarding, an additional fee will be charged. Oral Medications $8.90 / per administration, Administration of SQ Fluids $77.00 / per administration, Syringe Feeding $31.50 / per feeding, Doctor’s Evaluation (If we haven’t examined your cat within past 12 months, or if he becomes ill while here.) $86.00. If your cat becomes ill and does not respond to the above treatments during his stay here, we will make every effort to contact you. If we are unable to reach you, please indicate which of the following options you would prefer Do everything possible for my cat. I give you permission to do diagnostic tests, appropriate therapy, ultrasound examination, and even surgery if it is found to be necessary. I give permission to the doctors of All Cats Hospital to transport my cat to a specialty center if that is in my cat's best interest. I will take responsibility for all fees for services provided by All Cats Hospital, Tampa Bay Veterinary Specialists and Emergency Care Center, and Blue Pearl Veterinary Partners. Do only emergency first aid care until you hear from me. I realize that in doing so we may be delaying care which may lead to my cat's death. If you have not heard from me within 24 hours and my cat’s condition is critical, you have my permission to euthanize (overdose of an anesthetic which causes death) What brand/type of cat food should we feed your cat while he is here?*How much food and how often?*Please list all medications and the times they should be given belowWhat flea / heartworm preventative product(s) are you using? Heartguard Cheristin None Was it applied during the past 30 days? Yes No What phone number/email address should we use in case of an emergency?** Call/email only if an emergency Call/email if there are any concerns What date and approximate time will you be picking up?*Acknowledgement* All Cats Hospital maintains a flea-free hospital. Your cat will be examined when admitted and if fleas or evidence of fleas are found, he will be treated at the owner’s expense. I, the undersigned owner or authorized agent, hereby consent and authorize All Cats Hospital, its veterinarians and agents to receive, care, and prescribe for the cat identified above. I understand that no guarantee has been made except reasonable precautions against injury or escape. Signature* Reset signature Signature locked. Reset to sign again (June 1 – Dec 1 Only – Sign Boarding Hurricane Waiver in addition to boarding release.) CAPTCHA