PET INFORMATION
You will need to fill out this form for EACH pet.
Client Name:
*
E-mail
*
Pet Name:
*
Species:
*
Breed:
*
Color/Markings:
Age:
*
Weight:
*
DOB / Gotcha Date:
*
Sex:
*
Male
Female
Neutered/Spayed:
*
Yes
No
Are all vaccinations current?
*
Yes
No
Date of Last Vaccinations:
*
If no, please specify why:
Microchipped?
Yes
No
Is your pet sensitive to heat
Is pet aggressive?
Yes
No
Please specify:
Has your pet bitten anyone (person or animal)?:
*
Yes
No
Please explain incident(s):
FEEDING
How many times a day fed?:
Please Select
1
2
3
4
Other
At what time(s)?:
Describe meal #1
Describe meal #2:
Describe meal #3:
Describe meal #4:
Is their water?:
Tap
Filtered
Are treats ok?:
Yes
No
What is allowed and quantity?
Comments:
MEDICATIONS
Does your pet receive medications(s)?
*
Yes
No
List each medication, how many times per day it is given, and the dosage amount (please be very specific):
BEHAVIOR
Are there any recurring illness/injuries or allergies? Please describe:
*
Has your pet escaped the house or yard?:
Yes
No
What works to retrieve them?:
Are there any triggers that cause a reaction in your pet, such as other animals, ears touched, squirrels, men, etc.?:
What commands should we use in that scenario?:
WALKS
How is your dog walked?:
Leash
Gentle Leader
Special Collar
Harness
Backyard only
Other
Will they go out in rain or bad weather?
Yes
No
Are they heat-sensitive?:
Yes
No
How would you like us to alter the visit to account for rain, bad weather, heat, etc?:
How are their walk manners?:
Is there a preferred route or any favorite places/potty areas?:
Are there walk routines/key phrases we need to use?:
Any areas/homes/animals we need to avoid?
Are strangers an issue?
Is jumping, biting or chewing an issue?:
Yes
No
How should we correct them?
Where should we dispose poopy bags?:
LITTER
How often should the litter be scooped?
How often should the entire litter be changed and/or add fresh litter?
Where do we dispose of all poopies?
GENERAL
What commands do you use that we need to use?:
What indoor play activities do they enjoy?:
Which are their favorite toys?:
Any additional information we should know?
Submit
Should be Empty: