CROSSLANDS BOARDING KENNELS CUSTOMER QUESTIONAIRE FOR VETERINARY TREATMENT

WOULD YOU LIKE TO BE INFORMED (WHERE POSSIBLE/PRACTICAL) IF YOUR DOG HAS TO BE ATTENDED BY A VET WHILST IN KENNELS.
FOR MILD ILLNESSES REQUIRING ANTI-BIOTICS, ANTI- INFLAMATORIES ETC.(Required)
FOR ILLNESSES REQUIRING BLOOD TEST, X-RAYS ETC.(Required)
IF YOUR DOG REQUIRES AN OPERATION.(Required)
IF YOUR DOG SHOULD PASS AWAY WHILST IN KENNELS WOULD YOU LIKE TO BE INFORMED(Required)
IF NO WOULD YOU LIKE US TO INFORM YOUR EMERGENCY CONTACT(Required)
IT IS OUR POLICY (AS STATED IN OUR TERMS & CONDITIONS) THAT SHOULD A DOG PASS AWAY WHILST IN KENNELS WE WILL HAVE THE DOG CREMATED BUT WILL NOT HAVE THE ASHES RETURNED – IF YOU HAVE OTHER WISHES YOU MUST INFORM US AND, WHERE POSSIBLE, WE WILL CARRY OUT THESE WISHES.
I CONFIRM MY CONSENT FOR ANY DISCUSSION OF RELEVANT MEDICAL HISTORY AND/OR VETERINARY TREATMENT WHILST MY DOG IS IN KENNELS AS PER THE TERMS & CONDITIONS OF CROSSLANDS KENNELS - CLAUSES 7.8 – 7.11.
Your Signature
MM slash DD slash YYYY
NB – IF YOUR WISHES SHOULD CHANGE IT IS YOUR RESPONSIBILITY TO INFORM US OF THE CHANGES.
I consent to my submitted data being collected and stored. We will never share this information with any third parties.(Required)
This field is for validation purposes and should be left unchanged.

ADDRESS

Crosslands Kennels, Llandow, Nr Cowbridge, Vale of Glamorgan, CF71 7PY

PHONE

01446 793103

Scroll to Top