CPT - New Pet Consultation Form

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone Number

Please enter a valid phone number.

Cell Phone Number

Please enter a valid phone number.

What is the best time to contact you? Do you prefer call, text, or both?

Email

example@example.com

Please select the type of pet care you are interested in from the menu below. Compassionate PetCare & Training offers various drop-in visits, hourly care (2+ consecutive hours), vacation packages, and overnight care for 12 or 14 hours which includes one midday visit, per day. Refer to www.cynthialeellc.org for details.

What is the start date you are requesting?

Date

What is the end date you are requesting? If ongoing, disregard.

Date

Compassionate PetCare & Training offers a varied range of time for care, which can be discussed in further detail to meet your specific pet care needs. These ranges include early morning: 7:00 am to 8:30 am, mid-day: 12:00 pm to 3:00 pm, and evening: 7:00 pm to 8:30 pm. If you have chosen the Paw-sitively Pampered Package, there will be an adjustment in mid-day and mid-afternoon times to accommodate the four total visits per day that the service provides.

Overnight times typically range from 7:00 pm to 7:00 am (12-hour service) or 6:00 pm to 8:00 am (14-hour service). Keep in mind that it is possible that we can adjust these times when needed; one mid-day visit is included. I do not provide doggy day care services, although I do provide consecutive hourly care in the comfort of your pet's home (discounted hourly rates for repeat service).

For requests that will be ongoing, (i.e. daily drop-ins/hourly care/dog walking/medication administration), please list which days a week and times you are requesting.

Please describe your pet(s). Be sure to include how many pets are in the home and include the following information (if no allergies/medications, disregard): *Name *Age *Type/Breed *Color *Allergies *Medications

If you are looking for Behavior Modification Training, please describe the behavioral issues you are experiencing or if basic obedience. Leave blank if this does not apply.

If your pet(s) have any medical conditions or take medications, please describe. Be sure to include all details, the health and safety of your pets are top priority!

Does your pet(s) have any known aggression issues toward people or other pets?

Please use this space to tell me a bit about your pet's likes/dislikes, favorite toys, treats, training, or anything else you would like me to know about your fur-kiddos! No detail is too small.

Thank you so much for the opportunity to meet with you and your fur-kiddos (feathered and finned or scaly too). After our consultation, if you decide to move forward with services, I will be sending you a separate form via email for more information in order to book and add to your file.

If you are booking services for short-term, long-term, or overnight care, we will need to schedule a Meet & Greet 7 days before your departure. This is to ensure that all bases are covered when it comes to home access (door codes/key/alarm system), home care (mail pick-up/plants/cleaning supplies), general pet care, feedings, waste disposal, medications, veterinary care in an emergency, and emergency contacts. It is also a great refresher for me, as I often have clients book with me a month in advance. I look forward to working with you and your pets!

Best,

Cynthia Lee Cianella

Compassionate PetCare & Training New Pet Consultation Form