Mueller Pet Medical Center, Inc./6420 Freeport Blvd/Sacramento CA/95822
916-428-9202

Please call ahead to schedule your boarding reservation. For your convenience, print out and complete this form, and present it at your check-in.

(office use only) Client ID:____________Patient ID:__________
Client Name_______________________ Pet Name:________________
Address_______________________ Species________________
   ___________________________ Sex____________________
Telephone:_____________________ Color:_____________________
  Weight___________________
Date of Check In:________________________ Emergency Person__________________________
Date of Discharge________________________ Emergency Contact Number:__________________________
Contact Number:__________________________Alternate Person for Pick-up:________________________
Would you like your pet(s) bathed while boarding? ___yes   ___no ___________Date
Would you like our TLC Package? ($8.20 per day) ___yes   ___no
Are any medications necessary while boarding? ___yes   ___no
Special Instructions:____________________________________________
____________________________________________________
REQUIREMENTS FOR BOARDING
  1. All animals must be current on all vaccinations.
  2. All animals must be free of external parasites (e.g. ticks, fleas, etc.), or they will be treated at the owner's expense.
  3. MPMC has my permission to do whatever is necessary should an emergency arise. MPMC will attempt to reach me, if possible, prior to treatment.
  4. Payment is required upon discharge. Charges are for the day of admittance but not for the day of discharge if prior to 5pm Monday through Friday, and 3pm Saturday. Sunday drop-off or discharge is between 12-5pm only, and will be charged as a day of boarding.
POLICY FOR HOUSING MULTIPLE PETS TOGETHER
In certain instances, clients may wish to house their pets together during their stay with us. Though this has rarly resulted in any problems, placing two animals together in an unusual surrounding may result in abnormal behavior. If a problem arises, we will separate and house the pets individually, as soon as noted. In initialing this waiver I understand that MPMC will not be held responsible for any injuries my pet(s) sustain while boarding in the same cage or run. initial:_________
I have read the boarding requirements and understand the hospital's policies.
Signature:________________________________________