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You will need to print this form and fill it out to bring with your pet at check-in for their reserved boarding. Print this form in "landscape" format for best results
ARKLE Veterinary Care, LLC.
1020 Concord Road,
Smyrna,
Georgia 30080 • Phone: 770-435-6700 • Fax: 770-434-4863
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Owners Name Pet’s Name Date
Please list any medications or treatments that your pet will need while boarding. To ensure the highest quality patient safety & client service, we request that this form be filled out completely upon drop-off of your pet. Please be sure to have all medications labeled clearly. Please bring medications in original labeled containers or use a “Pill organizer” with the pet’s name on it. Please let us know if there are any special “tricks” for administering your pet’s medication or treatments. If your pet has special food or feeding requirements, please put them on the form. If your pet does not have any special medicines, treatments or feeding requirements please initial the next statement.
_______ My pet does not need any medications or treatments beyond routine care during their boarding
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Medication Name or treatment needed
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Strength of medication
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How many times a day it is being given?
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Method of administration or specifics of treatment
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When was medication or treatment last given?
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EXAMPLE: Tramadol pills
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50mg
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Twice daily
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By mouth In Peanut butter
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am of 2/11/09
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EX: 2 units insulin**
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40 U/cc
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Twice a day
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Up to 2nd line, inject while pet is eating
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2/11/09 8:00am
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Special instructions:
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