• Sierra Pet Co. Client Intake Form 🐾

    Please fill out this form with honest and accurate details to help us provide consistent and successful care for your pets.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Is your emergency contact authorized to make medical decisions for your pet if you cannot be reached?*
  • Service Selection

  • Please select the services you are interested in
  • How often would you like updates during your pet's stay?
  • Preferred method of communication
  • Would you be interested in pickup/drop-off services?
  • How did you hear about Sierra Pet Co.*
  • Pet Information

  • Is your pet currently on any medications, vitamins or supplements?*
  • Sex*
  • Is your pet Spayed/Neutered?*
  • Vet Information

  • Format: (000) 000-0000.
  • Emergency Vet

  • Format: (000) 000-0000.
  • Pet Vaccination Records

  • Are your pet's vaccinations up to date?*
  • Upload vaccine records
    Drag and drop files here
    Choose a file
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  • Is your pet currently on flea/tick prevention?*
  • Emergency Authorization

  • In the event of a medical emergency, do you authorize Sierra Pet Co. to seek veterinary treatment for your pet if you cannot be reached?*
  • Sierra Pet Co. will make every reasonable effort to contact pet owners prior to seeking veterinary treatment when possible. If pet owners are unable to be reached, Sierra Pet Co. may authorize emergency veterinary treatment up to the amount selected below.*
  • Liability and Financial Responsibility

    Financial Responsibility Acknowledgement
  • Bite and Aggression Disclosure

  • Has your pet ever bitten or injured another animal or person?*
  • Daily Routine & Behaviors

  • Can your pet be fed around others?*
  • Does your pet have any food allergies or treat sensitivities that we should be aware of?*
  • Trail Behavior & Safety

  • How comfortable is your pet being handled by unfamiliar people?*
  • What activity level does your dog typically enjoy?*
  • Is your dog comfortable participating in group walks, day care, or supervised social settings?*
  • Is your dog comfortable with?*
  • Please select walking preferences.*
  • Does your dog have reliable recall off leash?*
  • Does your dog display prey drive or strong chasing instincts toward wildlife, small animals, moving objects, or other pets?*
  • Is your dog fearful, reactive, overstimulated, or uncomfortable around any of the following?*
  • Home Behavior & Independence

    Please answer all of these questions honestly so we can ensure a safe and easy stay for your pet.
  • Has your pet ever attempted to escape a yard, home, vehicle, crate or enclosure?*
  • Has your pet ever displayed any of the following behaviors?
  • How does your pet typically settle indoors?
  • Can your pet be safely left alone overnight with these conditions?*
  • Where does your pet sleep?*
  • Travel

  • My pet
  • Sierra Pet Co. Policies and Service Agreement

  • Veterinary Emergency Agreement*
  • Here at Sierra Pet Co. we love to take photos of your happy pets! Do you give permission to share these images or videos of your pet for social media or marketing materials?*
  • Final Authorization and Signature

    By signing below, you acknowledge that the information provided is accurate and that you agree to the policies, terms, and conditions outlined by Sierra Pet Co.
  • I certify that all information provided in this intake form is accurate and complete to the best of my knowledge. I understand and agree to the policies, procedures, and services outlined by Sierra Petco.
  • Signature Date*
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  • Should be Empty: