704-827-5300
reception1@eastlincolnanimal.com
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Drop-Off/ Hospitalization Form

Save time during your next appointment! Complete your drop-off form online from any device at any time before your visit.

cat in carrier

Drop-Off/Hospitalization Form

Before your appointment, please complete this form as thoroughly and correctly as you can
so that we may get to know you and your pet(s).

Name *

First

Last

Email *

Phone *

Check-In Date *

Check-Out Date *

Pet's Name *

Emergency Contact *

First

Last

Emergency Contact Phone *

If a critical/life threatening problem develops and we can't reach you, may we treat your pet(s)? *

Yes
No

How much do you authorize East Lincoln Animal Hospital for treatment? *

I authorize any amount necessary for the treatment of my pet at East Lincoln Animal Hospital.
I authorize a maximum amount to be used towards my pet's care at East Lincoln Animal Hospital.

Please specify the maximum $ amount to be used toward your pet's care. *

Please list feeding instructions. *

When is your pet due for their next meal? *

Did you bring food for your pets? *

Yes
No

Please list any medications that your pets need while boarding, along with instructions.

Are you leaving any of the following?

Collar/Leash
Carrier
Bedding
Other

Please explain. *

Please list any procedures you would like performed during your pets' stay: (e.g. nail trim)

NOTICE: Personnel are not on the premises at night and other times when the East Lincoln Animal Hospital Clinic is not open for business. *

I have read and understand.

Email

REQUEST AN APPOINTMENT

We look forward to seeing you and your pet!
Request an appointment by clicking the button below.

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Have a question?

If you need anything for your pet, please use the information below to contact us.
A member of our team will be in touch soon!

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Location

7555 Hwy 73 E
Denver, NC 28037

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Contact Information

Phone: 704-827-5300
Email: reception1@eastlincolnanimal.com

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Hours

Monday-Friday: 8 AM – 5 PM
Saturday: Closed
Sunday: Closed

Name *

First

Last

Email *

Phone

How can we help you? *

Name

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