Paws and Claws Pet Care
New Client Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Spouse Name
First Name
Last Name
Spouse Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Service(s) Requested
*
Boarding
Home Visits
Dog Walks
Other
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
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Pet Information
Name
*
Species
*
Dog
Cat
Other
Gender
*
Male
Male - Neutered
Female
Female - Spayed
Age
Pet Care
Potty Frequency
Food Amount and Frequency
Allergies
Please list any allergies
Special Routines or Requests
Please list any medications or supplements with dosing instructions.
Any warnings about your pets behavior?
Please explain in detail
Proof of Vaccinations
Browse Files
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Choose a file
Current vaccinations and negative fecal required
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Photos of your pet may be taken and posted to social media on Paws and Claws Pet Care's Facebook page.
Yes, this okay!
No, please don't post my pet.
Is it okay to give your pet a calming supplement if they exhibit separation anxiety?
Yes!
No thank you
I will supply my own medication/supplement for my pet.
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Emergency Information
Primary Veterinarian
*
Primary Veterinarian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
* Please note: any after hour emergency visits will be taken to Allied Vet in Eau Claire
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