Boarding Form - Marina Bay Animal Hospital

Thank you for trusting Marina Bay Animal Hospital to treat your pet like part of our family!
Please complete this form once per pet that is boarding so that we have accurate information for each.

Owner's Name*

Email*

Enter Email Confirm Email

Pet's Name*

Primary Phone*

Secondary Phone

Drop Off Date*

Pick Up Date*

Pets are REQUIRED to be picked up by 5pm Monday – Friday, and by 11 AM on Saturdays. If you need to pick up any later than the times listed, please speak to a MBAH receptionist so that we can accommodate you.

Will your pet need any additional services while boarding?*

Yes
No

Please describe additional services requested.

For your pet’s protection, a fecal parasite screening and the following vaccines must be current.

Canine Vaccines/Tests Required
Rabies
DHPP
Bordetella (must be updated every 6 months)
CIV (Canine Bivalent Flu)
Fecal

Feline Vaccines Required
Rabies
FVRCP

Flea and/or tick prevention will be administered to your pet and invoiced if any are seen during your pet’s stay. Every pet is flea combed at check-in.

Last dose of flea preventative application?*

Brand of flea preventative used?

Do you grant permission for Marina Bay Animal Hospital to publish your pet's photograph and/or name through social media?*

Yes
No

We walk all dogs in a secure, fenced in backyard. Do you grant permission for your pet to be walked off leash?*

Yes
No

Should my pet need medical care during their time at Marina Bay Animal Hospital, I elect to be contacted at the numbers/email provided above and made aware, at the earliest business day, prior to my scheduled pickup. I approve contact by (please select one):

Email
Phone
Neither, I prefer not to be contacted unless an emergency arises

ALTERNATIVE AUTHORIZED PERSON(S) TO PICK UP MY PET

I grant permission for persons under the following name(s) to pick up or visit my pet(s) while boarding:

Name

Phone

MEDICATIONS

PLEASE UNDERSTAND, ALL MEDICATIONS MUST BE IN THE ORIGINAL PACKINGING, AS DISPENSED, WITH LABELED INSTRUCTIONS.

Does your pet need medications administered?*

Yes
No

Name:

Instructions:

Last dose given date/time, prior to drop off:

Next dose due date/time:

Medication Name and Strength

Instructions:

Last dose given date/time, prior to drop off:

Next dose due date/time:

Medication Name and Strength

Instructions:

Last dose given date/time, prior to drop off:

Next dose due date/time:

Medication Name and Strength

Instructions:

Last dose given date/time, prior to drop off:

Next dose due date/time:

If your pet has more than four medications, please email an inclusive list, including name, strength, instructions, last dose given, and next dose due to infombah@gmail.com or text us at 281-334-2888.

Do you want your pet to have a bath before they go home (we apologize but baths are not available on Saturdays)?*

Baths include nail trim, anal gland expression & ear cleaning. Please note, if your pet is getting a bath, they will be ready between 3:00pm & 5:00pm on the weekday of their scheduled departure.

Yes
No

FEEDING INSTRUCTIONS

Will your pet be eating our in-house diet (Purina EN Dry Canine or Hills Adult Feline)?*

Yes
No

How many times a day?*

Once Daily
Twice Daily
Three Times Daily

How much at each feeding?*

If no, please provide details below for the food you will be providing.

Food Brand:

How many times a day?

Once Daily
Twice Daily
Three Times Daily

How much at each feeding?

Special Feeding/Dietary Instructions

Important notice: In the unlikely event that your pet runs out of food while boarding, we will feed them our in-house diet of Purina EN dry for dogs and Hill’s Science Diet Adult dry for cats.

MARINA BAY ANIMAL HOSPITAL IS NOT RESPONSIBLE FOR ANY PERSONAL BELONGINGS LEFT WITH YOUR PET.

Does your pet have a history of chewing/ingesting clothing, blankets, towels, toys, etc?

Please list and describe all items to be left with your pet during their stay:

Hurricanes and Natural Disasters:

It is the policy of Marina Bay Animal Hospital to require that owners evacuate with their pets when an impending dangerous storm is anticipated to hit the area. If your pet is boarding when a dangerous storm approaches, we will make every effort to contact you and/or your emergency contacts and request that you pick up your pet prior to any closures.

In the event of a “mandatory evacuation” order or closing of the facility, you or your representative will be responsible for picking up your pet within 2 HOURS. If we cannot contact you, or arrangements cannot be made to have your pet picked up, Marina Bay Animal Hospital will take all possible precautions to care for your pet while it is boarding. Due to the unpredictability of these types of storms; however, if a mandatory evacuation of the area is ordered, Marina Bay Animal Hospital staff must evacuate. If your pet is not picked up within the allotted time, we will make sure that your pet has plenty of food and water prior to evacuation. We cannot guarantee; however, the safety of your pet, nor can we be certain as to when we will be able to gain access to the boarding facility after the storm passes.

I have read the above and understand that I am responsible for providing contact information for a designated person(s) that will pick up my pet(s) if needed. I have also informed them that I have provided their information for this reason. If I am unable to do so and a mandatory evacuation is ordered or the facility is unable to stay open, I understand that I will be boarding my pet at my own risk.

Please make the emergency contact name/phone required.

Emergency Contact Information

Name*

Phone*

Alternate Emergency Contact Information

Name*

Phone*

Signature*

I hereby certify that I am the owner or am assuming responsibility for the above named animal, and hereby consent and authorize Marina Bay Animal Hospital to receive, prescribe for, treat or perform surgery upon the above named animal(s) as deemed necessary. I have read the foregoing and agree.

Phone

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