1224 Collier Road NW

Atlanta, GA 30318

404-350-1711

3199 Paces Ferry Road

Atlanta, GA

770-319-0100

Animal Application

 

Owner Information

 

 

Name

 
Address  
City State Zip  

 

Email

 
Would you like to be on our mailing list? yes no  
Home Phone Work Phone

Cell Phone

 

  
How did you originally hear about VIP?  
   
Emergency Contact Information  

 

Name

 

Phone Number

   
Veterinarian Phone Number
   
Animal Information  

Animal 1 Name

Animal 2 Name

Animal 3 Name

Animal 4 Name

Animal 5 Name

 

Age

Age

Age

Age

Age

Breed Animal 1

Breed Animal 2

Breed Animal 3

Breed Animal 4

Breed Animal 5

Weight lbs.

Weight lbs.

Weight lbs.

Weight lbs.

Weight lbs.

Spayed/Neutered

Spayed/Neutered

Spayed/Neutered

Spayed/Neutered

Spayed/Neutered

Male Female

Male Female

Male Female

Male Female

Male Female

Is your pet house/litter trained? yes no

Does Your pet like other animals? yes no

Is your pet friendly to strangers? yes no

Has your pet bitten an animal or a person?

What brand and type of food does your pet eat?  
How often? What is your pet's activity level?
Does your pet have any separation fears?  
   

Please, list any special, non-medical needs your pet may have or anything you would like us to know about your pet?

  

Is your pet currently taking medication? If yes, please list them below (i.e. dosage,timing)

  

 

Can your pet eat Nutro Chicken/Rice/Oatmeal? yes no

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vaccination Policy

Vinings Important Pets (VIP) requires all pet;s vaccination to be current and owner must provide documentation from a

Veterinarian. Titer readings are also accepted. The Bordeatella (Kennel Cough) intranasal vaccination is requires for

dogs. If your pet is not current at time of admission, or we have not been given current records, we can not accept your

animal.
Canine: Bordatella
DHLPP Rabies
Feline: FVRCP
Rabies  
Ferrets and Domestic Skunks:
 Rabies  

 

Medical Illness/Medication Policy

One of the advantages of having your pet at a facility that has 24 hour care is that emergency attention is readily available

should the need arise. If your pet becomes ill, we will call the emergency number listed regarding your pet's condition. If no

one can be reached however, we will make an attempt to take your pet to your veterinarian during normal business hours

and Cobb Emergency at night. Payment must be made in full, to the veterinarian, at the owner's expense. In the event you

and your emergency contacts are unreachable, please list the maximum amount of money you authorize for use for

emergency treatment until you are able to be contacted. VIP staff will make attempts to reach you several times

during the day and night.

In addition, VIP will be pleased to administer medications at no additional charge.

 

Amount

 

Owner/Agent e-Signature

 

Date

 

Does your pet have any allergies to any type of food, material or medications?

List sensitive areas your pet may have.

 

External Parasite Policy

To prevent the spread of external parasites such as fleas and ticks, I authorize VIP to apply Frontline Topspot Plus

Advantage if/as needed for my pet at a cost of $20.00 per treatment. One treatment required monthly. This treatment will be

given if any external parasites are visible.

 

 

Vinings Important Pets

Terms & Conditions

1)VIP reserves the right to change your animal's boarding requirements if we believe it is neccessary to protect the health and well being of all animals and staff.

2)VIP is not responsible for toys or bedding left with your animal. Please mark be sure to mark any belongings with your animal's name and your name.

 

 

Owner/Agent e-Signature

 

Date