About your pet

Your Name *

First Name Last Name

What is your pet's name? *

What species is your pet? *

Dog Cat

If you know your pet's breed(s) you can enter them here.

Please pick from the following: *

Male, unneutered Male, neutered Female, unspayed Female, spayed I don't know

Why did you welcome this pet into your family? *

Tell us about your pet's life before s/he joined your family, if known. If you know why any previous owners gave him/her up, please include that information. *

Please list all of your pet's current medications and supplements, including heartworm prevention and flea/tick control. Include the dose and how often they get the medication/supplement. *

Does your pet have any allergies? *

None Food allergies Flea allergies Seasonal or environmental allergies Probably, but they've not been diagnosed yet Vaccine medication reactions Other

What is your pet's current diet and feeding schedule? Include the treats, yes even the ones s/he isn't supposed to have :) *

What kind of exercise does your pet get? How much, and how often? *

Please describe a day in the life of your pet. *

Tell us a bit about this pet's personality, and their relationships with the other pets and people in your home. *

Are there any situations in which this pet has shown anxiety, fear, or aggressiveness? If yes, please describe, including what was done about it.

Do you have any medical concerns that are not currently being addressed? *

Is there anything else you'd like to share about this pet?

Please let us know where we can obtain complete medical records for this pet- name of clinic(s) and phone number(s). *

Jael, our Certified Fear Free Trainer and Behaviorist, runs group and private Puppy Right Start, Adult Basic Skills, and Enrichment courses. She can also help develop a behavior modification plan to help pets with training or behavior problems. Would you like Jael to contact you about training? *