Boarding Admission Form

Boarding reserved for established clients only.
Please note our preferred boarding pick-up and drop-off times:
Monday – Friday: 8:30am-10am, 4pm-5:30pm
Saturday: 8:30am-10am.

*Note that boarding services are reserved for our established clients only. New Patients can become established by scheduling an exam prior to boarding. We recommend scheduling the exam at least 2-weeks prior to the start of the boarding reservation.

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This field is for validation purposes and should be left unchanged.
Are you a current client of The Cat Hospital of Media?*
- Yes
- No
Note: All new customers will be required to complete a New Client Application after submitting this Boarding Form.
Owner's Name*
Pet's Name*
Drop Off Date*
Pick Up Date*
Type of boarding unit – Preferred Choice*
- Kitty Condo ($50/night)
- Euro Condo ($50/night)
- Suite ($60/night)
To view individual units, click here.
Type of boarding unit – Secondary Choice*
- Kitty Condo ($50/night)
- Euro Condo ($50/night)
- Suite ($60/night)
To view individual units, click here.
Phone Where You Can Be Reached*
Email*
Please be advised that while we take every precaution to ensure the safety of personal items (toys, blankets, clothing, etc.) during your cat’s boarding stay, we cannot guarantee against loss or damage. We recommend labeling all belongings clearly and only bringing essential items. Thank you for your understanding.
Current Diet
Will you bring your own food or use our house food?*
- I will bring my own food
- I’d like to use your house food
Raw Diet Policy: For the safety of our patients and staff, we do not allow or handle raw food diets within our facility.
What is the name brand of the food?
AM Food Type*
- Dry Food
- Wet Food
AM Food Quantity*
PM Food Type*
- Dry Food
- Wet Food
PM Food Quantity*
Medications
Will we be administering medication during their stay?*
- Yes
- No
Important: All medication must be in it’s original packaging with the prescription labeled clearly. If the label directions are different then what is requested, we must confirm with the prescribing doctor. Please do not place medication in pill pockets or in pill organizers prior to arrival.
AM Medications and Dosage*
PM Medications and Dosage*
Please write any other instructions regarding diet or medication administration*
All cats boarding at The Cat Hospital of Media must have a current exam within the past year, and a current FVRCP and rabies vaccine. If you do not have current vaccines and/or an exam this will be done while your cat is staying with us at the owner’s expense. Cats boarding with us will be checked for external parasites upon admission and discharge. If signs of fleas, external parasites or internal parasites are found, your cat will be treated. It is strongly recommended that your cat have flea protection while boarding, as we cannot guarantee that your cat won’t be exposed to fleas during the normal course of business.
Initials
Your Name
Your Name
Your Name
While boarding, I request for my cat:
- Exam – $101
- Fecal Test – $65
- Rabies Vaccine – $51.50
- FVRCP Vaccine – $46
- Flea Treatment (Revolution PLUS) – $41
- Nail Trim – $26 (complimentary with exam)
**Current exam with one of our veterinarians required for these services
Other
I understand that the health of my pet cannot be guaranteed. I will not hold The Cat Hospital of Media liable for conditions that are unavoidable in boarding facilities. This includes but is not limited to weight loss, fleas, hair loss, diarrhea and upper respiratory infections. I understand that all cats admitted to The Cat Hospital of Media must be protected against communicable contagious diseases and must be free of internal and external parasites, or they will be treated upon admission at the owner’s expense. I understand that if my cat eats a special diet, I must provide the diet or purchase the diet here if available. All boarding cats are fed a dry commercial diet. If this is not what your cat normally eats, a change in diet may cause upset stomachs and/or diarrhea.
If I cannot be reached, I authorize emergency treatment up to $*
Emergency Contact Name*
Emergency Contact Phone*
Signature of Owner*
Your Name
Your Name
Your Name

Boarding Admission Form

Boarding Policy