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Medical Boarding Form

"*" indicates required fields

*Boarding must be approved by Vida staff and scheduled for an admit time*

Client's First Name*

Client's Last Name*

Phone*

Secondary Client's Name

Secondary Client's Phone

Pet's Name*

Pet's breed and species*

Admit Date*

Projected Pick up date*

Approximate weight*

Reason for medical boarding*

Personal items*

We are not responsible for lost or stolen items

Food type*

How often and how much are they fed?*

List all current medications*

Please list name, dose, frequency and duration needed

Please list all medical problems*

Any other important information we need to know about caring for your pet?

Medical Boarding Policy at Vida Veterinary Care – Denver

Client and patient must have current VCPR (Veterinary-ClientPatient-Relationship) from either Vida hospital.
- Patient must be current on vaccines (unless unable to vaccinate given
  medical condition- must be waived by DVM and documented).
  - Young puppies or kittens who are not fully vaccinated are not
    allowed to medical board.
  - Ferrets must be up to date on vaccines if boarding.
- Patient must have recent negative fecal within 2-4 weeks of boarding
  (Fecal O&P). Day of drop offs- either in house fecal float by RVT or send
  out.
Pet is on medications prescribed by a DVM or has a medical
condition requiring medical boarding.
Client is notified and aware that a technician or assistant will
oversee caring for the pet.
- DVMs will not be involved unless pet becomes ill during stay.
  - If DVM involvement required, it will be the responsibility of the
    inpatient/hospitalist DVM to evaluate patient and contact owner
    with recommendations
- If there are not any hospitalized patients, boarding pet will be alone in
  kennel from midnight to 7am.
- Clients can call for updates; staff to provide daily update and picture
  through Pet Desk.
Medical Boarding Form is completed by staff member admitting the
patient for medical boarding.
- . Form is to be filled out completely by staff member each time a patient
  is boarded with listed medications, dose and frequency, food, items
  left, etc.
  - CPR/DNR status and consent for treatments if become necessary
    and unable to reach owner.
  - Canned estimate for medical boarding has forms attached.
- Technician puts in treatment plan for all necessary medications, walks,
  feedings, etc. Use canned med boarder treatment plan and adjust as
  needed.
  - Daily Pet Desk update text and picture on treatment plan by
    technician.
  - Include creating rounds sheet for medical boarder.
  - Put medical boarder info on the white board.
  - All treatments are set between 8am to 11:30pm
- Client made aware of $100/night cost of medical boarding – to be
  charged under Office Services
- No deposit required; payment of invoice in full at time of pick up.
A technician appointment time for admit and discharge must be
scheduled by Vida staff when the owner calls to set up medical
boarding.
- Estimated pick up time should be confirmed by admitting staff member
  on admit for medical boarding.
Permissible reasons for medical boarding:
- Patient has a chronic medical condition but is stable and healthy upon
  admit.
- Post-surgical medical boarding to help restrict patient and give
  medications if owners cannot.
  - Transition to medical boarding from hospitalization under DVM
    discretion
Non-permissible reasons for medical boarding:
- Dog or cat that is not eating or is deemed unhealthy by DVM
- Dehydrated patient that requires more than SQF
- Patient that is considered contagious to other animals (ex: kennel
  cough, giardia, etc.)
ALL EXOTIC MEDICAL BOARDING must be approved by DVM first.
- An additional charge will be added to the invoice for patients who
  require assisted feedings.
  - If bonded pair boarded together in same kennel, it is ok to do
    one charge for exotics only.

Client Signature*

Date*

Phone

This field is for validation purposes and should be left unchanged.