Please review and complete this form to confirm your understanding and agreement with our pet policy guidelines.
Indicate the type of your pet (e.g., dog, cat, bird):
Please review each policy statement and check the box to acknowledge your agreement:
I agree to provide proof of up-to-date vaccinations and regular health check-ups for my pet.
I understand that only healthy, non-aggressive pets are permitted within the nursing home.
I will ensure my pet is clean, groomed, and free of pests (e.g., fleas, ticks).
I agree to promptly clean up after my pet and maintain the cleanliness of shared spaces.
I understand that my pet must be supervised at all times within the facility.
I agree that my pet will be kept on a leash or in a carrier when outside my personal room.
I will ensure my pet does not cause excessive noise or disrupt other residents.
I agree to address any behavior issues promptly, including any signs of aggression.
I accept full responsibility for any damage or injury caused by my pet.
I understand that repeated violations of this policy may result in the removal of my pet from the facility.
By signing below, I confirm that I have read, understood, and agreed to abide by the Nursing Home Pet Policy.
Name:
Date:
Name:
Date:
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