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Microsoft word - boarding information sheet.doc

BOARDING INFORMATION
Pet’s Name: _____________________________________________________________ Owner’s Name(s):_________________________________________________________ Day and/or Date going home: __________________ Pick up Time: ________________ Please list the telephone numbers where we can contact you during your pet’s stay: _________________________________ I will be unavailable by telephone. Please contact me via e-mail at: ________________________________________________________________________ Please list anyone else who is authorized to pick up your pet(s) from this visit: ______________________________ ___________________________________ Does your pet need to be examined by a doctor? If yes, please describe your pet’s symptoms/behaviors: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Does your pet need medication administered during its stay?  Yes BOARDING INFORMATION
• All dogs receive a complimentary bath and nail trim prior to going home. If you chose to decline this service, check here: • For the protection of our staff and other animals, a dose of oral dewormer will be administered to your dog, at no charge, at the time of their arrival. • Would you like your cat to be bathed? ($21.00)  Yes Commonly, the excitement and stress of boarding can cause gastrointestinal upset during your pet’s stay, resulting in decreased appetite, vomiting, and/or diarrhea. Most times, these symptoms will resolve as your pet acclimates to the kennel. However, if underlying conditions such as intestinal parasites or organ diseases are present, these periods of stress can result in persistent illness. If your pet has diarrhea during its stay, we will perform a fecal smear and floatation ($10.10) to help rule out parasitic causes. We will notify you of the results and the recommended treatment at that time. Medications needed during your pet’s stay will be at If your pet vomits, they will be administered oral Famotidine (Pepcid) ($4.20) to help calm their stomach. On the other hand, if your pet remains ill you will be contacted to authorize an examination and further diagnostics, such as bloodwork and radiographs and/or treatments as recommended by the doctor.
Please list any belongings you are bringing with your pet:
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________
If you have provided your pet’s diet to be fed during its stay, please list the feeding
instructions:
________________________________________________________________________
________________________________________________________________________
_______________________________________________________________________
Any Special Sessions or Needs
:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Source: http://www.novey.com/pdf/Boarding%20Information%20Sheet.pdf

aiglon.ch

Aiglon College Please type or write clearly Applicant Student: Family Name: ________________________________ First Name:_______________________________ Date of Birth: Day:___ Month: ___ Year: ______ Place of Birth: __________________ Nationality: _______________ Religion: _________________________________ First Language: _________________  Male or  Female Number of brothers: ______

Microsoft word - _cefaleia.doc

Fluxo de atendimento e dados de alerta para qualquer tipo de cefaléia no atendimento do Fluxo de atendimento e dados de alerta para qualquer tipo de cefaléia no atendimento do Primeiro Atendimento Serão classificados como emergência (sinais de alerta de alto risco para 1. Cefaléia de instalação súbita (pico de dor desde o início) 2. Cefaléias dese

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