Pet Surrender Request

Pet Surrender Request

This form must be completed by the pet's owner.
Is there anything we can do to help you keep your pet in your home?*

NoYes, veterinary care.Yes, dog training.Yes, grooming services.Yes, food and other supplies.Other
Your Name*
Your Email*
Your Phone*
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Pet's Name*
Pet's Species
Pet's Breed*
Color(s) of Pet*
Pet's Age *
(approximate age)
Pet's Gender*
Approximate Weight*

Small breed - Under 25 lbsMedium breed - 26 lbs to 55 lbsLarge breed- 56 lbs to 75 lbsExtra Large breed- 76+ lbs
Please tell us why you need to surrender your pet.*
What is your pet's demeanor?

Aggressive / Dominant, resisting human leadership, easily provoked into bitingConfident / Dominant, can be provoked but accepts human leadership. Responds best to an experienced owner.Insecure / Submissive and lacking self confidence, shy and fearful, does well with owners who are patientOutgoing / Friendly and sociable, flexible temperament, requires regular training and exercise.Adaptable / Easy to handle and cooperative. Bonds with owner and requires regular companionshipIndependent / Uninterested in people, not social, low need for human companionship
Does your pet have a bite history?*

YesNo
Please describe any aggression issues or concerns.*
Is your pet microchipped?*

YesNoI don't know
If the pet is a cat or dog, have they had any vaccinations, heartworm testing, has it been altered (spayed or neutered)? If so, please describe.
Please upload a picture of the pet you're looking to surrender.*

Browse Files

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Please be advised that we cannot take animals with behavioral issues (this includes animal aggression, human aggression, dog reactivity, resource guarding, barrier frustration, and on leash reactivity) or bite histories of any kind.

If your pet displays any of the above mentioned behaviors and you would like to discuss owner requested euthanasia with our clinic team, please call 610-797-1205 option 1.

We can only take in animals as space allows. Do not bring your pet in without approval from our team and an appointment.
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