Boarding Form

Name: Crossroads Animal Hospital
Address: 466 Highway 6 West, Oxford, MS, 38655, United States
Telephone: 662-234-2928
Price range: $

Our boarding services are often booked weeks in advance, especially for weekends and holidays. Filling out this online form does not confirm your reservation. Staff must review your information, check for vaccinations, availability, etc. prior to completing the reservation. You may also call The Lodge at 662-234-2928 to schedule a reservation. YOUR BOARDING RESERVATION IS NOT CONFIRMED UNTIL YOU RECEIVE A PHONE CALL OR TEXT RESPONSE.

Client Name *

First

Last

Phone Number *

Email *

Pet's Name *

Layout

Drop Off Date *

Pick Up Date *

Boarding Options *

Daycare

Monday ($15)
Tuesday ($15)
Wednesday ($15)
Thursday ($15)
Friday ($15)
Saturday ($5.50)

Picture Updates

Monday ($2.15)
Tuesday ($2.15)
Wednesday ($2.15)
Thursday ($2.15)
Friday ($2.15)
Saturday ($2.15)
Sunday ($2.15)

Gourmet Cookies

Monday ($3.75)
Tuesday ($3.75)
Wednesday ($3.75)
Thursday ($3.75)
Friday ($3.75)
Saturday ($3.75)
Sunday ($3.75)

Pupsicles

Monday ($3.75)
Tuesday ($3.75)
Wednesday ($3.75)
Thursday ($3.75)
Friday ($3.75)
Saturday ($3.75)
Sunday ($3.75)

Additional Services

Basic Bath
Deluxe Bath
Nail Trim
Anal Gland Expression
Brush Out

Please indicate the type of food you would like your pet to eat while boarding: *

Own Food
Clinic food (Purina EN - gastroenteric formula)

What amount do we need to feed your pet? *

How often would you like your pet to be fed? *

In the morning only
In the evening only
Twice daily

Please list any medications your pet needs to be given while boarding with instructions. (Example: Vetprofen 25 mg tablets - 1/2 tablet by mouth twice daily)

Does your pet have any food allergies? *

If yes, please list allergies below *

Pick-Up Options *

Monday - Friday 7:30 am - 6 pm
Saturday 8 am - 12 pm
Sunday 8:30 am OR 5:30 pm ($25 Sunday pick-up fee)

Please note: Crossroads Animal Hospital is not responsible for any personal items including collars, leashes, toys, or bedding that are lost or damaged by your pet during their stay. By signing, I also agree to the terms of the general patient consent form signed annually. This is only a request for a reservation. You will be called or sent a text message to confirm that we received your request and booked your reservation. *

I have read and understand

Required Vaccination Policy: All pets are required to be up to date on the following vaccines: Canine - DA2PPL, Rabies, Bordetella, and Lepto. Feline - Rabies and FVRCP. If you answer "No" to the following question, you hereby approve Crossroads Animal Hospital to vaccinate your pet upon entering the boarding facility." Following with the same yes or no boxes and statements as seen in the picture followed by the previous veterinary hospital (if applicable). *

Yes - My pet is up-to-date on all vaccines and records will be provided
No - My pet is not up-to-date on all vaccines. Please vaccinate my pet

Upload your pet's vaccination records

Click or drag files to this area to upload. You can upload up to 10 files.

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

In case of illness or injury, I the undersigned, do hereby give my authorization and consent for the doctor to treat, prescribe to or operate upon my pet(s) while they are being boarded at the hospital. I authorize treatment for parasites and/or sedation for treatment or to control aggression, if needed. Crossroads Animal Hospital and our employees will use all responsible precautions against illness or injury but will not be held liable or responsible in any manner whatsoever, under any circumstances, on account of the care, treatment, or safe keeping of my pet(s) in any part of the facility (including Doggie Daycare), as it is thoroughly understood that I assume all risk. *

I have read and understand

I authorize the staff at this veterinary practice to release portions of my pet’s medical history and record, including personal recollections, radiographs, photographs, videotape images or other images to use with the following media sources: Crossroads Animal Hospital's website, Facebook page, TikTok or Instagram. *

I authorize
I do not authorize

I, the undersigned, authorize this veterinary practice or employees to use such materials for this purpose. I agree not to file any claim for revenue or lawsuit for damages against this veterinary practice with respect to the release of this information. *

I have read and understand

**Please note—Crossroads Animal Hospital is not responsible for toys or bedding that are soiled, lost, or destroyed by your pet during their stay.--By signing, I agree to the terms of the general patient consent form signed annually. *