Exotic Boarding Form

Centennial Animal Hospital Exotic Boarding Form

Thank you for giving Centennial Animal Hospital the opportunity to board your pet(s). During this time, we are asking all clients to fill this out prior to their pet’s stay with us. Please be as specific as possible when filling this out.

Name *

First

Last

Email *

Phone *

Appointment Date and Time

Date

Time

ANIMAL'S DETAILS

Pet's Name *

Species (Sub species if known) *

Sex *

Approximate Age *

How long have you had it? *

HOUSING

All enclosures, lighting and supplies need to accompany your pet for its boarding stay.

ENCLOSURE

What is the enclosure made of?

What are the measurements of the enclosure?

How is ventilation provided?

LIGHTING

Is there any U.V. light?

Does it have a timer?

How high above the substrate is the U.V. positioned?

Is there a spot/basking light (state type & wattage)?

Does the spotlight have a guard around it?

How long are each of the lights on for each day in the summer?

How long are each of the lights on for each day in the winter?

HEATING

What type of heater is used?

Is it connected to a thermostat?

State the background temperatures - Summer: AM

State the background temperatures - Summer: PM

State the background temperatures - Winter: AM

State the background temperatures - Winter: PM

Do you use a min/max thermometer?

What is the temperature under the spot/basking light?

Is all the heating & lighting equipment at the same end of the enclosure?

What is the temperature difference between the hot end & the cool end?

DÉCOR

What substrate is used?

How deep is the substrate?

How frequently is the vivarium cleaned out?

What cleaning solution is used?

Describe the hide boxes:

Is there a covered, damp moss/peat container?

What other items of décor are there (rocks, branches, drain pipes, plants – plastic or real, etc.)

FEEDING

(Please give us a detailed list of items the pet loves/likes and even dislikes. Boarding can be a stressful situation and we will use the list if needed to entice them to eat while staying with us. It is best if you can bring some high-value items for the stay so they will most likely eat something.)

List ALL food items including quantity & frequency OR complete the diet sheet (if fruit & veggies, please list each type):

How often is the animal fed?

What supplements are provided & how often?

If feeding insects, how do you ensure the supplement is delivered?

Any special instructions (likes to be hand fed with bugs or likes items warm/cold, etc.)?

Do you use any special water or any water supplements or treatment?

HANDLING

How frequently is it handled?

Does it prefer to spend time outside of the enclosure?

Any other special instructions we should know or be aware of?

Who is your primary vet for the care of your exotic pet?

Authorization

Notice of No Staff on Premises: We do not have staff on the premises 24 hours a day, 7 days a week. While your pet is boarding with us, there is no one on the premises after hours or on weekends for your pet's direct supervision. Staff does come in for feeding/walking and husbandry throughout the day/evening. *

I have read and understand.

Boarding drop off and picks up are still performed curbside. Please call to let us know you have arrived. *

I have read and understand.

Medical Policy: If your pet becomes ill while boarding, as determined by the trained staff, they will reach out to one of our veterinarians to determine appropriate care deemed necessary. Every effort will be made to contact the owner to inform them of the situation. If your pet requires treatment for their comfort and safety and we are unable to contact you or your emergency contact, treatment will be provided, and you will be responsible for the fees incurred. It is explicitly understood that if you (the owner) choose to seek medical care for any condition or complication of medical care initially received at Centennial Animal Hospital, you will assume full financial responsibility. *

I have read and understand.

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Website

We treat your pets like the valued family members they are.

Address

6870 Centennial Blvd.
Colorado Springs, CO 80919
Click here for directions.

Hours

Mon – Fri: 8:00 am – 6:00 pm
Sat: 8:00 am – 12:00 pm
Sun: Closed

Contact

Phone: 719-528-1693
Fax: 719-528-1694
Email: centennialpets@gmail.com

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Request an appointment online!

APPOINTMENT