Online Form

Boarding Authorization Form

Complete your Boarding Authorization Form online from any device at any time before your visit.

Boarding Authorization Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.

Client Name(Required)

First Last

Patient Name(Required)

Date(Required)

MM slash DD slash YYYY

Please provide proof of vaccinations at least 48 hours prior to boarding. All cats must be current on Rabies and Distemper vaccines to board at our facility. If fleas are found on your pet at check-in, treatment will be administered. Guests will receive two meals daily to help us track their food consumption during their stay. If you require a late check-in or check-out, please coordinate with front desk staff in advance. We cannot accept check-ins or check-outs within 30 minutes of closing.

Date of Check In(Required)

MM slash DD slash YYYY

Date of Check Out(Required)

MM slash DD slash YYYY

Owner’s Phone Number During Stay(Required)

Is anyone else authorized to pick up your pet?(Required)

Yes

If yes, who?(Required)

Their phone number(Required)

What type of food do you feed your cat?(Required)

Wet

Dry

Other

If other, please specify(Required)

How much food is your cat offered each day? (Example: 1⁄2 cup of dry)(Required)

Is your pet on any medications?(Required)

Yes

If yes, please list each medication and their dosing instructions(Required)

Additional Services Requested

Physical Exam (please fill out a drop-off questionnaire)

Nail Trim

Other (ear cleaning, vaccines, etc.)

If other, please specify(Required)

Does your pet have any special needs for boarding?(Required)

Items brought with your pet(Required)

Medicine often involves unpredictable situations that may require emergency treatment, with little time to consult the owner. For this reason, we kindly ask you to specify your preferences regarding CPR and other lifesaving procedures before leaving your animal. Please select one of the options below:

CPR: I authorize the veterinarian to perform CPR and other life-saving measures on my animal while attempting to contact me. I accept responsibility for any related costs, which may exceed the initial estimate.

DNR: I do not wish for CPR or life-saving measures to be performed on my animal if recovery is not possible.

**Please note that if no selection is made, it will be assumed that you selected the option of CPR. **

If my pet requires medical intervention while boarding with Royersford Veterinary Hospital, I:(Required)

Give RVH permission to treat my pet without contacting me up to $_______

Do NOT give RVH permission to treat my pet without contacting me first.

Give RVH permission to treat my pet without contacting me up to $

Client Signature(Required)

Date(Required)

MM slash DD slash YYYY

Have A Question?

Please use the information below to contact us. A member of our team will be in touch soon!

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Contact

P: (610) 948-1014
E: contact@royersfordvet.com

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Location

850 Main St. Royersford, PA 19468
Our parking lot is located off 9th Street.

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Opening Hours

Mon & Wed : 8.00 am – 6.00 pm
Tues & Thurs: 8.00 am – 7.00 pm
Fri: 8.00 am – 5.00 pm
Sat: 8.00 am -12.00 pm

Name *

First

Last

Email *

Phone

How can we help you? *