Option 1

Complete Online

Complete and submit the online form below.

Option 2

Print & Complete

Bring the completed form with you to our hospital.

Download Form

Option 3

Complete on Arrival

If you prefer, fill out the form when you get to our hospital.

New Boarding Release Form

Client ID

Client Name *

Address

Phone Number *

Patient ID

Patient Name *

Species *

Sex *

Birthdate *

Weight

Arrival Date *

Depart Date *

Diet *

Special Diet

In-house Food

Bath *

Yes

Note

Medications

Vaccinations

Instructions

Authorization

All pets left for boarding must be current on all required vaccinations and free of fleas and ticks, or they will be treated on admission at the owners expense. We do not allow personal belongings to be left with the pet, including collars, leashes, bowls, blankets, towels, toys, etc. Canyon Animal Hospital is not responsible for any items left with pet.

If medications are necessary for treatment or handling, I give my permission to Canyon Animal Hospital to administer such medications for and additional fee. *

I authorize Canyon Animal Hospital to do whatever is necessary in case of illness or an emergency situation.

Emergency Contact *

Phone number *

Spam Blocker

Hours

Click to View

Monday:08:30 am - 05:30 pm
Tuesday:08:30 am - 05:30 pm
Wednesday:08:30 am - 05:30 pm
Thursday:08:30 am - 05:30 pm
Friday:08:30 am - 05:30 pm
Saturday:Closed
Sunday:Closed

Boarding Release Form

Option 1

Complete Online

Option 2

Print & Complete

Option 3

Complete on Arrival

New Boarding Release Form

Authorization

New Patients Welcome

Location

Contact

Hours