ZEN PETCARE & HOME

Medication Permission to Administer

This form authorizes Zen Petcare & Home to administer medications to the pet(s) listed below, in accordance with North Carolina Animal Welfare Act requirements for boarding kennels.  Prescription medications must be provided in their original prescription container with veterinarian instructions, and the original container shall remain with the pet’s belongings at all times during boarding.  OTC items must be provided in their original retail packaging with legible labeling.

Owner Information

Medication Details

For each medication, please complete the following fields accurately and thoroughly as possible to ensure appropriate and professional care for your pet(s).

Prepackaged Medications

Note: Prescription medications are always administered directly from their original prescription container. The options below apply only to OTC medications and supplements.

Authorization & Acknowledgment

I authorize Zen Petcare & Home to administer the medications listed above as directed by my veterinarian or, for owner-provided OTC items, as specified by me on this form. I understand that prescription medications must be accompanied by their original containers and administered according to label instructions. Zen Petcare & Home will make every effort to administer medications as directed but cannot be held liable for unexpected adverse reactions.

Regulatory Reference: 02 NCAC 52J .0102(3) (boarding kennel records of veterinary care: medication name, strength, dosage, regimen, frequency, duration, and reason for administration) and 02 NCAC 52J .0210(j) (prescription meds, tranquilizers, sedatives, and calming drugs require vet direction, written owner permission, original container, and administration per label).