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
• 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: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
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: ______
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