Medical History for Pets

Owner Name(s)*:
Pet Name(s)*:
Contact Number:
Email Address*:
Emergency Contact*:
Emergency Contact Phone*:
Veterinary Hospital/Vet's Name:
Vet's Phone:
Any present or past medical problems?
Is your pet currently on any medications? (If yes, please also fill out the Medication Instructions for Boarding)	Yes No
Please state the last time your pet has been vaccinated, if not current for boarding we here at Snug will do vaccines the day of check-in.
Is your pet currently on flea & heartworm prevention?	Yes No
Has your pet had a fecal test for parasites in the last 6 months?	Yes No
Does your pet have any allergies to food, or other environmental items?
Does your pet have a history of stress colitis (diarrhea) when boarded or in a new setting?
Does your pet have any behavior problems or kennel anxiety we should know about?

We here at Snug Pet Resort and Animal Hospital strive for the best possible boarding experience for your pet. If your pet has any health issues or if any are noticed at Snug while boarding we will notify you immediately. We are a full service Veterinary Hospital as well, so if there is anything we can do for your pet, please ask to speak to the Veterinary Department. Veterinary services are done Monday-Saturday, and on call Sunday for emergencies.