Paws Finding Peace - Animal and Owner Information Form:
Please submit this form if you would like for us to contact you about our services. This form can be used for pre-planning (months or weeks in advance) or to assist with scheduling an appointment in the near future. If you have an urgent request, please call us or text us after submitting this form so we can make sure to respond in a timely manner.
Please view our
travel map
before filling out this form to verify that we serve your town.
Your Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
Name of Additional Contact:
Alternative Phone Number (Additional Contact/ Family Member)
How did you hear about us?
Please Select
Internet Search
Friend or Family
Veterinary Clinic
Used your services before (part of the PFP family already)
Other
Your Pet's Name:
*
Species
*
Dog
Cat
Other
Pet's approximate weight (in lbs):
*
Sex
Female
Male
Unknown
Pet's age:
Breed (if known)
List any veterinary clinics your pet has been to in the past 3 years. It is ok to leave this question blank if they have not been seen recently or you can't recall.
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Submit
Let us know what is going on with your pet. You can be as detailed as you would like or you can just type "quality of life concerns", "mouth cancer" or "can't walk". We can always get more details when we talk on the phone.
Now is a good time to think of who might want to be present at the appointment. Please provide the names and ages (if kids) of the people who might be present. When we talk on the phone, you can ask us any questions you may have about who should/should not be present.
Other pets in the house:
Name
Dog/Cat/Other
Age
1
2
3
4
5
6
How is your pet when new people come to the house?
They think everyone is their best friend - wags/purs/kisses.
They have a bit of stranger-danger and will hide.
They will either not notice a new person at this time or will likely not have any reaction to a new person.
Other
How is your pet at the veterinary clinic? Please note that this information helps us figure out if oral sedation before the appointment would be helpful and/or if we need to add anything to our treat bag before coming over. One of our core principles is that your pet have little to no anxiety while we are at your home.
They think any attention is good attention and do great at the vet clinic.
They get scared at the clinic but tend to be fine with family present.
They are fearful and have anxiety at the vet clinic.
They are very fearful and usually need a muzzle or sedation to assist with anxiety.
Other
Have you decided on aftercare?
Private cremation (ashes returned).
Communal cremation (ashes are not returned).
Home burial (see burial guidelines).
Unsure at this time.
Other
Where are you in the planning stages?
*
Just looking for information.
Know we are going to need your services in the future.
Will likely need to schedule an appointment sooner than later.
We need an appointment ASAP (within 24 hours).
My pet has already passed and we need assistance with cremation.
Other
Is there any specific question or concern you would like us to discuss when we call you? Once you submit this form, we will follow up with a phone call the same day or the following day. Once you submit this form, you can give us a call or text if you would like to talk as soon as possible (413-327-5077). We know this is an extremely difficult process, we will do our best to help facilitate a peaceful passing for your beloved companion.
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