336-349-3194
info@reidsvillevet.com
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3202 Barnes Street
Reidsville, NC 27320
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336-349-3194
info@reidsvillevet.com
About
Testimonials
Photo Gallery
Careers
Our Team
Services
Resources
Payment Options
FAQs
Online Pharmacy
Contact
Book Appointment
Boarding Form
Please complete the boarding form completely and accurately.
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Boarding Form
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Name
*
First
Last
Email
*
Phone
*
Check-In Date
*
Check-Out Date
*
Pet's Name
*
Emergency Contact
*
First
Last
Emergency Contact Phone
*
If a critical/life threatening problem develops and we can't reach you, may we treat your pet(s)?
*
Yes
No
How much do you authorize Whiskerframe for treatment?
*
I authorize any amount necessary for the treatment of my pet at Whiskerframe.
I authorize a maximum amount to be used towards my pet's care at Whiskerframe.
Please specify the maximum $ amount to be used toward your pet's care.
*
Please list feeding instructions.
*
When is your pet due for their next meal?
*
Did you bring food for your pets?
*
Yes
No
Please list any medications that your pets need while boarding, along with instructions.
Are you leaving any of the following?
Collar/Leash
Carrier
Bedding
Other
Please explain.
*
Please list any procedures you would like performed during your pets' stay: (e.g. nail trim)
NOTICE: Personnel are not on the premises at night and other times when the Whiskerframe Clinic is not open for business.
*
I have read and understand.
Phone
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