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Pet Boarding Check-In & Medication Intake Form

Facility Name

Date of Check-In

Expected Pick-Up Date & Time

1. Owner & Emergency Contact Information

Owner Name(s)

Primary Phone

Secondary Phone

Email Address

Emergency Contact Name (Authorized to make care / medical decisions)

Emergency Contact Phone

Relationship

Primary Veterinarian / Clinic

Vet Phone Number

2. Pet Information

Pet Name

Species / Breed

Age / DOB

Sex

Spayed / Neutered

Color / Markings

Microchip # (if applicable)

3. Feeding & Care Instructions

Food Provided by Owner?

If No, Food Brand

Feeding Frequency

Portion Size per Meal

Special Feeding Instructions / Restrictions

Belongings Brought (leash, bed, toys, food bowl, etc.)

4. Health & Behavioral Profile

Does your pet have any allergies or dietary sensitivities?

If yes, explain

Does your pet have any existing medical conditions or mobility limitations?

If yes, explain

Behavioral Notes (e.g., anxiety, fear of thunder, resource guarding, dog/people reactivity)

5. Medication Intake & Schedule

(Please complete one row per medication / supplement provided)

Medication / Supplement Name

Dosage & Unit (e.g., 1 tablet, 5ml)

Frequency & Time (e.g., AM / PM / Bedtime)

Method of Administration (e.g., with food, pill pocket, hidden in treat)

Reason for Medication

A
B
C
D
E
1
 
 
 
 
 
2
 
 
 
 
 
3
 
 
 
 
 
4
 
 
 
 
 
5
 
 
 
 
 

Is your pet easy to medicate?

Are there any special instructions or warnings for administering medication?

6. Medical Emergency Authorization & Sign-Off

In the event of a medical emergency, every reasonable attempt will be made to contact the owner or emergency contact listed above. If contacts cannot be reached, I authorize [Facility Name] to seek veterinary medical attention for my pet.

 

Emergency Treatment Authorization Limit

IF "Up to a specific dollar amount" is selected. Maximum Authorized Amount

Preferred Emergency Vet Clinic (if different from primary)

I certify that the information provided above is accurate and complete to the best of my knowledge.

 

Owner Signature

Staff Signature (Inspected & Received)

Form Template Insights

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Every question on a Pet Boarding Check-In & Medication Intake Form serves a specific purpose: protecting your pet's physical health, preserving their emotional comfort, and ensuring seamless communication while you are away.

Here is a detailed breakdown of why each section is critical for your pet's well-being and daily care.

1. Owner & Emergency Contact Details

  • Primary & Secondary Phone Numbers: Immediate access to you prevents unnecessary delays if a quick decision or clarification is needed regarding your pet's routine or behavior.
  • Emergency Contact Person: If you are traveling, on a flight, or in an area without cellular reception, a trusted local contact ensures your pet is never left without a designated decision-maker.
  • Veterinarian Clinic Information: If your pet encounters a health issue, boarding staff can quickly consult with the veterinarian who knows your pet’s complete medical history, existing conditions, and baseline health metrics.

2. Pet Identification & Physical Profile

  • Name, Breed, Age, and Sex: Staff use this basic profile to pair pets with appropriate exercise environments, energy-matched playmates, and suitable housing spaces.
  • Color and Distinct Markings: Visual identifiers ensure that even in facilities housing multiple pets of the same breed or color, staff can instantly distinguish your pet.
  • Microchip Number: Provides a permanent physical identifier that stays with your pet's file, ensuring accurate identity verification throughout their stay.

3. Feeding & Daily Care Instructions

  • Food Source & Brand Name: Sudden changes in diet cause severe gastrointestinal distress in animals. Specifying whether you supplied their regular diet or are opting for house food helps staff monitor for stomach sensitivities.
  • Exact Portion Sizes & Schedule: Maintaining your pet’s exact daily feeding schedule and exact meal portions prevents metabolic disruptions, weight fluctuations, or digestive upset brought on by routine shifts.
  • Belongings Brought to the Facility: Cataloging personal items like blankets, toys, or leashes ensures your pet retains the comforting scents of home while preventing personal property from being mixed up during routine cleaning cycles.

4. Health & Behavioral Profile

  • Allergies & Dietary Restrictions: Even small treats given during routine care can trigger allergic reactions or digestive issues. Listing known triggers keeps your pet safe during rewards and playtime.
  • Existing Medical Conditions & Mobility Limits: Staff need to know if your pet suffers from joint stiffness, arthritis, or heart conditions so they can adapt physical activities, choose appropriate bedding, and avoid physical strain.
  • Behavioral Nuances & Triggers: Sharing whether your pet fears thunder, guards food bowls, or feels nervous around other animals allows handlers to tailor their approach, create a low-stress environment, and ensure peaceful interactions.

5. Detailed Medication Intake & Schedule

  • Exact Dosage & Unit: Precise measurements ensure your pet receives the exact therapeutic dose prescribed by their veterinarian, avoiding under-medication or accidental over-dosing.
  • Administration Times & Frequency: Hormones, cardiac medications, pain managers, and antibiotics often depend on strict timing to maintain effective therapeutic levels in the bloodstream throughout the day.
  • Administration Method & Treats: Knowing whether your pet takes pills willingly, prefers pill pockets, or needs medication mixed into wet food ensures they receive their medication without experiencing stress or discomfort.
  • Reason for Medication: Knowing why a medication is administered helps staff recognize potential side effects, monitor recovery progress, or identify signs of returning symptoms early.

6. Emergency Care Authorization

  • Pre-Approved Treatment Limit: Setting a predetermined medical care authorization limit allows staff and veterinary teams to begin urgent diagnostic tests or life-saving procedures immediately without waiting for financial clearance while trying to reach you.
  • Preferred Emergency Clinic: Designating a specific emergency hospital ensures that if urgent care is required after regular veterinary hours, your pet is transported directly to a facility you trust.


Mandatory Questions Recommendation

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Making specific fields mandatory ensures that no critical piece of operational or health information is left blank. If essential details are missed, staff are forced to guess or make assumptions—putting your pet’s physical well-being, health continuity, and safety directly at risk.

Here are the non-negotiable, mandatory questions every customer must complete, along with the reasons why each must be required.

1. Primary Phone Number & Designated Emergency Contact

  • Why it must be mandatory:
    Pets cannot advocate for themselves during a medical crisis, a sudden physical injury, or extreme anxiety. Having at least one reachable human contact at all times guarantees that care decisions can be authorized without dangerous delays.

2. Primary Veterinarian Clinic & Phone Number

  • Why it must be mandatory:
    If a pet develops acute illness or experiences a pre-existing medical flare-up, boarding staff need immediate, direct contact with the doctor who holds the pet's full medical history, diagnostic charts, and vaccination records.

3. Pet Name, Breed, Age, & Sex

  • Why it must be mandatory:
    Basic profile details are essential for correctly identifying animals, matching pets to safe playgroups, providing age-appropriate exercise, and ensuring that instructions are assigned to the correct pet.

4. Known Medical Conditions & Dietary Allergies

  • Why it must be mandatory:
    Even common treats, standard cleaning agents, or normal play routines can trigger severe allergic reactions or aggravate joint conditions. Leaving this field blank forces staff to assume an animal has no hidden physical limitations, exposing vulnerable pets to preventable harm.

5. Full Medication Details (Name, Exact Dosage, & Schedule)

  • Why it must be mandatory (if bringing medication):
    Missed doses or incorrect quantities of maintenance drugs—such as insulin, heart medications, or seizure treatments—can lead to rapid physical decline. Requiring complete dosage and schedule instructions eliminates any ambiguity when staff administer treatment.

6. Emergency Treatment Authorization Limit

  • Why it must be mandatory:
    If an urgent life-threatening situation occurs and phone lines are unresponsive, veterinary hospitals require pre-approved authorization limits to begin diagnostics, surgery, or life-saving stabilization immediately.


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