Pet Profile

Burnell Pet Care and Education LLC

Pet Profile
Burnell Pet Care and Education LLC

Company Email: burnellpets@gmail.com

Company Website: burnellpets.com
Basic Pet Information

PLEASE COMPLETE ONE FORM FOR EACH OF YOUR PETS
Client Name*

First NameLast Name
Pet Photo*

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Pet Name:*
Species*

CanineFelineOther
Breed(s):*
Age:*
Weight (lbs):*
Sex:*

MaleFemale
Spayed or Neutered:*

YesNo
Is your pet on flea and tick preventatives?*

YesNo
If you answered "Yes" above, please list which flea and tick preventative your pet uses:*
Is your pet on heartworm prevention?*

YesNo
If you answered "Yes" above, please list the heartworm preventative your pet uses:*
Vaccination Records
Is your pet up-to-date on their rabies vaccination?*

YesNo
Is your pet up-to-date on all age-appropriate vaccinations?*

YesNo
If you answered "No" to the previous question, please indicate the reason for your pet's current vaccination status:
Please upload all current vaccination records here including current rabies certificate. PLEASE NOTE THAT A RABIES TAG IS NOT ACCEPTED AS PROOF OF VACCINATION. PLEASE ONLY PROVIDE THE RABIES CERTIFICATE FROM A LICENSED VETERINARIAN:*

Please note that vaccination records, including current valid rabies certificates, are required in order for us to ensure proper and safe care for your pet(s).
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Is your pet Microchipped?*

YesNo
If microchipped, how many digits are contained within your pet's specific microchip ID number?*

91015
If you answered "Yes" to your pet being microchipped, please provide your pet's microchip ID (PLEASE CAREFULLY REVIEW YOUR ENTRY FOR ACCURACY):*
A microchip ID should consist of 9, 10, or 15-digits with no spaces or punctuation. Please carefully review your entry so as to ensure the correct ID is provided.
If you answered "Yes" to your pet being microchipped, please provide your pet's microchip ID (PLEASE CAREFULLY REVIEW YOUR ENTRY FOR ACCURACY):*
A microchip ID should consist of 9, 10, or 15-digits with no spaces or punctuation. Please carefully review your entry so as to ensure the correct ID is provided.
If you answered "Yes" to your pet being microchipped, please provide your pet's microchip ID (PLEASE CAREFULLY REVIEW YOUR ENTRY FOR ACCURACY):*
A microchip ID should consist of 9, 10, or 15-digits with no spaces or punctuation. Please carefully review your entry so as to ensure the correct ID is provided.
Microchip Registry:*
Please check your pet's microchip registry annually to ensure all information is accurate and current. 25-40% of microchipped pets have inaccurate or incomplete information within their microchip registry, which significantly increases the risk of a lost pet not being returned home (UP TO 5X LESS LIKELY TO BE RETURNED HOME).
Does your pet require medications?*

YesNo
Medications*
Medication #1*
Location where Medication is stored*
Medication times*
Directions*
If your pet has more than one medication please list the additional medications and instructions here. If you pet does not require additional medications, but you wish to provide further information regarding a single medication, please use the space provided below:*
Has your pet been diagnosed with allergies?*

YesNo
If "Yes", please list what type of allergies below.*
What symptoms does your pet exhibit with their allergies?*
Has your pet had any previous illnesses, injuries, or surgeries we should be aware of?*

YesNoUnknown
If "Yes" please explain in detail including whether those illnesses, injuries, or surgeries caused any lingering effects we should be aware of.*
Knowing whether old injuries flare up is crucial to us determining whether to seek veterinary care. Not knowing what is normal behavior of your pet can lead to unnecessary medical bills for you.
Please describe in detail your pet's car riding behavior. In the event we need to transport your pet, we must ensure the safety of your pet as well as ourselves.*
Pet Profile
Please let us know what temperament and personality best describes your pet. Check all that apply.*

CalmSweetLovingCuddlyAggressiveHyperShyScaredTimidRelaxedEasy GoingPushySuspicousAloofFearfulLazyJealousTrustingCrazyOther
Please elaborate on your selections above by giving as much detail as possible to describe your pet(s) temperament and behavior:*
Please describe any fears, anxieties, stresses, or dislikes your pet may have, including what they are, their triggers, and reactions.*
Has your pet ever done any of the following?*

Attacked and/or bit someoneAttacked and/or bit another animalEscaped from homeInjured self out of boredom/fearNone of the above
Please describe the incident(s) even if mild or under extreme or unusual circumstances*
Does your pet have experience with children? Please select the most appropriate option below:*

Yes, loves children and is gentle around themYes, loves children but gets too excitedYes, tolerates children but won't actively engageYes, but is fearful of childrenYes, but should not be exposed to children due to signs of aggression (offensive and/or defensive aggression)NoUnknown
Please list all cues you use with your pet(s) whether visual and/or verbal cues and the scenarios in which you use them. Also include information regarding how you positively reinforce your pet when desired behaviors are displayed:*
Favorite Toys:
Maximum amount of hours able to be left alone at one time:*
Please refer to our Rover profile and the Client Profile Form detailing our full-time work schedules. As a reminder, we work Mondays - Thursdays and are therefore unavailable from about 8am - 5pm on those days. Please reach out with any questions.
Is you pet crated or placed in a restricted area when no one is home?*

YesNo
Feeding Instructions
Name of food: *
Please enter the full name of your pet's food. This should include the brand (e.g., Blue Buffalo) along with product name/formula (e.g., Life Protection Formula) and flavor/main ingredient (e.g., Lamb & Brown Rice).
What time(s) of day is your pet fed their meal(s)? Please check all that apply.*

Not applicable6:00am to 8:00am8:00am to 10:00am10:00am to 12:00pm12:00pm to 2:00pm2:00pm to 4:00pm4:00pm to 6:00pm6:00pm to 8:00pm8:00pm to 10:00pmOther
Amount to feed at EACH feeding:*
Location of where food is stored: *
Location where pet(s) eat their meal(s):*
Treats - Please list any treats your pet may consume. If there are any favorite treats that are high value, please list them in order from highest to lowest value (Treat Ladder):*
Type "None" if no treats are given
You are welcome to give detailed or special instructions on how to feed your pet:
Please specify the type of water you provide for your pet.*

TapFiltered from refrigerator dispenserFiltered from pitcher in refrigeratorFiltered from sinkBottled
This form was prepared by:*

First NameLast Name
Date*

MonthDayYear
Hour MinutesAM/PM Option
Signature of person preparing form:*
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Burnell Pet Care and Education LLC

Basic Pet Information

Vaccination Records

Pet Profile

Feeding Instructions