Craig & Chelsea's Rover Pet Sitting
New Pet Information Form
Basic Information
PLEASE COMPLETE ONE INDIVIDUAL FORM FOR EACH OF YOUR PETS
Client Name
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First Name
Last Name
Pet Photo
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Pet Name:
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Species
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Canine
Feline
Other
Breed(s):
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Age:
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Weight (lbs):
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Sex:
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Male
Female
Spayed or Neutered:
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Yes
No
No - my pet is too young at this time
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Is your pet on flea and tick preventatives?
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Yes
No
If you answered "Yes" above, please list which flea and tick preventative your pet uses:
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Is your pet on heartworm prevention?
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Yes
No
If you answered "Yes" above, please list the heartworm preventative your pet uses:
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Vaccination Records
Is your pet up-to-date on their rabies vaccination?
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Yes
No
Is your pet up-to-date on all age-appropriate vaccinations?
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Yes
No
If you answered "No" to either of the previous two questions, please indicate the reason for your pet's current vaccination status:
Please upload all current vaccination records here including current rabies certificate(s). PLEASE NOTE THAT A RABIES TAG IS NOT ACCEPTED AS PROOF OF VACCINATION. PLEASE ONLY PROVIDE THE ACTUAL RABIES CERTIFICATE FROM A LICENSED VETERINARIAN:
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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?
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Yes
No
If microchipped, how many digits are contained within your pet's specific microchip ID number?
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9
10
15
If you answered "Yes" to your pet being microchipped, please provide your pet's microchip ID:
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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:
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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:
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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:
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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.
Does your pet require medications?
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Yes
No
Medication #1
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Location where Medication is stored
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Medication times
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Directions
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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 medications, please use the space provided below:
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Has your pet been diagnosed with allergies?
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Yes
No
If "Yes", please list what type of allergies below.
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What symptoms does your pet exhibit when their allergies flare up?
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Has your pet had any previous illnesses, injuries, or surgeries we should be aware of?
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Yes
No
Unknown
If "Yes" please explain in detail including whether those illnesses, injuries, or surgeries caused any lingering effects we should be aware of.
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This information is crucial to us understanding the behavior and physical wellbeing of your pet(s). Knowing whether old injuries flare up is crucial to us knowing whether to seek veterinary care. Not knowing what is normal behavior of your pet can lead to unnecessary medical bills that the owner will be responsible for paying.
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.
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Please note that 84% of pets are not secured properly in vehicles. Pets should never be allowed to sit in a driver's lap. There are Maine statutes in place that restrict pets being improperly secured in a vehicle, sitting in the driver's seat, and having their heads out of open windows. Please also note that not all safety harnesses are created equally. Please research products through reliable sources prior to purchasing safety devices for car transport. Many popular brands actually fail simple crash tests. If you want more information regarding crash tested and approved products, please let us know and we'll be happy to work with you to keep your pet(s) happy and healthy.
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Pet Profile
Please let us know what temperament and personality best describes your pet. Check all that apply.
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Calm
Sweet
Loving
Cuddly
Aggressive
Hyper
Shy
Scared
Timid
Relaxed
Easy Going
Pushy
Suspicous
Aloof
Fearful
Lazy
Jealous
Trusting
Crazy
Other
Please elaborate on your selections above by giving as much detail as possible to describe your pet(s) temperament and behavior:
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Please take some time to think about and describe any fears, anxieties, stresses or dislikes your pet may have. Please use this space to list and describe (1) What are they (2) What are the triggers and (3) what are the reactions. This can include barking at dogs walking by the window, thunder storms, vacuums, certain body part sensitivities (doesn't like paws touched or rump scratched), etc.
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Has your pet ever done any of the following?
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Attacked and/or bit someone
Attacked and/or bit another animal
Escaped from home
Injured self out of boredom/fear
None of the above
Please describe the incident(s) even if mild or under extreme or unusual circumstances
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Does your pet have experience with children? Please select the most appropriate option below:
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Yes, loves children and is gentle around them
Yes, loves children but gets too excited
Yes, tolerates children but won't actively engage
Yes, but is fearful of children
Yes, but should not be exposed to children due to signs of aggression (offensive and/or defensive aggression)
No
Unknown
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:
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Favorite Toys:
Maximum amount of hours able to be left alone at one time:
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PLEASE NOTE: AS INDICATED IN OUR ROVER PROFILE, OUR ORIGINAL RESPONSE TO YOUR REQUEST, AND DETAILED ON THE CLIENT PROFILE FORM, WE DO WORK FULL-TIME JOBS MONDAY THROUGH FRIDAY MEANING WE ARE ONLY ABLE TO ACCEPT PETS INTO OUR CARE THAT ARE ABLE TO GO APPROXIMATELY 8 HOURS ALONE MONDAYS THROUGH FRIDAYS. PLEASE FEEL FREE TO REACH OUT TO US ON ROVER WITH ANY QUESTIONS. WE ARE HAPPY TO HELP.
Is you pet crated or placed in a restricted area when no one is home?
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Yes
No
Feeding Instructions
Name of food:
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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.
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Not applicable
6:00am to 8:00am
8:00am to 10:00am
10:00am to 12:00pm
12:00pm to 2:00pm
2:00pm to 4:00pm
4:00pm to 6:00pm
6:00pm to 8:00pm
8:00pm to 10:00pm
Other
Amount to feed at EACH feeding:
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Location of where food is stored:
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Location where pet(s) eat their meal(s):
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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):
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Type "None" if no treats are given
Please give detailed or special instructions on how to feed your pet, if necessary:
Please specify the type of water you provide for your pet.
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Tap
Filtered from refrigerator dispenser
Filtered from pitcher in refrigerator
Filtered from sink
Bottled
This form was prepared by:
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First Name
Last Name
Date
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Month
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Day
Year
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Hour Minutes
AM
PM
AM/PM Option
Signature of person preparing form:
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