Client Request Form

Indy CARES Client Request Form
Are you a resident of Marion County?*
Are you considering surrendering your pet to Indianapolis Animal Cares Services due to a crisis?*
What type of assistance do you need?*

Are you able to financially contribute to the cost of vet care?*
If you answered, yes, how much can you contribute? Please enter a dollar amount.
Please explain the crisis you and your pet are experiencing:*
How long have you or your pet been experiencing the crisis?*
Has the pet been seen by a vet for the illness or behavior?*
If the pet has been seen by a vet for the illness or behavior, please upload documentation here.

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If your pet has experienced an injury, please provide a photo of the injury.

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Does the dog wear a muzzle when visiting the vet? *
Does the pet have a current rabies vaccine? *
If the pet does not have a current rabies vaccine, can it have one? (it is a veterinary requirement) *
Are you able to transport your pet to receive assistance?*
Indy CARES does not have the ability to transport to and from the vet. Before submitting a form, please make sure you and your pet have transportation.

Contact Made?
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Will someone other than they owner be transporting to/from the vet clinic?*
Name of person beside owner picking up / dropping off pet:

First NameLast Name
Pet's Name:*
Male or Female?*
Age or Estimated Age:*
Approximate Weight:*
Primary Color:*
Secondary Color*
Cat or Dog?*
Breed of Dog?
Is the cat short, medium, or long hair?
Has the pet had its vaccines in the last year? (DAPP for dogs, FVRCP for cats)*
Do you give permission for the clinic to give vaccines?*
Is the pet current on rabies?*
Do you give permission for the clinic to give a rabies vaccine?*
If your pet is currently on any medications, please list them & what they are for in the box below:
If your pet has any chronic health issues, please explain below:
Is your pet friendly to strangers?*
Does your dog wear a muzzle to the vet? *

Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Pet's name:*
Male or Female?*
Is the pet spayed or neutered?*
If you answered no, do you agree to have the pet spayed or neutered to receive Indy CARES training services>*
In order to receive training support services, it is necessary to spay or neuter your pet. Often doing so is a key part in assisting pets overcome challenging behaviors. Indy CARES can assist with scheduling the pet.
Is the pet up to date on vaccines?*
Do you agree to get your pet vaccinated before receiving training services?*
In order to receive training support services, it is required that your pet is up to date on vaccines. Indy CARES can assist with vaccinating your pet.
Age:*
Approximate Weight:*
Cat or Dog?*
Breed of dog:
Please explain the behavioral concerns you are experiencing and what goals you have for your pet.*

If you are needing assistance that you cannot find here, please visit indycares.org for more information.

Regards,

The Indy CARES Team

Because we are a municipal shelter, we are only able to assist pet owners who live in Marion County.

For organizations who may be able to assist you, please visit our LinkTree below:

LinkTree Pet Resources

Indy CARES Client Request Form