VicDoggs Client & Pet Information Form
Thank you for choosing VicDoggs Pet Services! Please complete this form so we can provide safe, personalized care for your furry family.
Client Information
Client Name:
First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Preferred Method of Communication:
Text
Call
Email
Emergency Contact Name:
First Name
Last Name
Emergency Contact Phone:
Format: (000) 000-0000.
Relationship to Client:
Home Information
Will anyone else have access to the home during services?
Yes
No
Names of authorized individuals:
Key
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Next
Entry Method
Lockbox
Keypad
Concierge
Other
Alarm System?
Yes
No
Alarm Instructions:
Wi-Fi Name (optional):
Pet Information
Pet Name:
First Name
Last Name
Species/Breed:
Age:
Weight:
Sex:
Male
Female
Spayed/Neutered:
Yes
No
Veterinarian Name:
First Name
Last Name
Veterinarian Phone:
Format: (000) 000-0000.
Emergency Vet:
Format: (000) 000-0000.
Microchipped?
Yes
No
Chip Number:
Medical Information
Current Medications:
Medical Conditions/Allergies:
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Special Care Instructions:
Behavior Information
Has your pet ever: Bitten a person?
Yes
No
Shown aggression toward dogs?
Yes
No
Escaped from leash/home?
Yes
No
Shown resource guarding?
Yes
No
Triggers/Fears:
Favorite Activities/Toys:
Treats Allowed?
Yes
No
Special Commands:
Feeding Instructions
Food Brand:
Feeding Schedule:
Treat Restrictions:
Walk Preferences
Preferred Route:
Walking Equipment:
Harness
Collar
Gentle Leader
Other
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Leash Location:
Photo Permission
I authorize VicDoggs to use photos/videos of my pet for marketing purposes.
Yes
No
Client Signature:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Should be Empty: