Drop-Off/Boarding Release Form

All pets entering the hospital must be current on all required vaccinations, including heartworm test and fecal; and be free of fleas and ticks, or they will be treated on admission at the owner's expense. If any vaccines are due, you will be notified at the time of drop off. Bordetella and fecal must be current within the last six months.

  • If medications are necessary for treatment or handling, I give my permission to Northeast Animal Hospital to administer such medications.
  • The staff of Northeast Animal Hospital are to use reasonable precautions against injury, or escape, of the animal(s), but the staff will not be held liable or responsible in any manner whatever, or any circumstances, on account of the care, treatment, or safe keeping of the animal(s) above described, or otherwise in connection therewith, as it is thoroughly understood that I assume all risks.
  • Pets are released only during regular business hours. I realize that it is my responsibility to notify Northeast Animal Hospital if I am delayed or otherwise unable to pick up my pet on the designated pick up date. Written notice will be mailed to the above address if the animal is here longer than the designated time. Five days after such written notice, the animal(s) will be considered abandoned and discharged to Animal Services, and it is understood that our doing so does not relieve me from paying all costs of your service and the use of your hospital.
  • If a pet stays beyond their scheduled boarding reservation without notification from the owner or authorized person in advance, then there will be an extended boarding fee rate at double the rate of regular scheduled boarding fees per night.

I authorize Northeast Animal Hospital to do whatever the Doctor deems necessary in case of illness or an emergency situation.

If you are dropping your pet off for treatment:

  • I prefer to be called at my most accessible phone number for questions or to let me know that my pet is ready for discharge.
Treatment Options (you must select one)(Required)
Owner Name(Required)
This field is for validation purposes and should be left unchanged.