Pet’s Name(s)

Pet Owner’s Name

Age of Pet

Male       Female

Neutered

Spayed

Yes           No     Yes          No

Color or markings

Any basic commands pet will follow?

What brand of food does your pet eat?

Special feeding instructions/times, etc.

Any past or present medical conditions? No        If Yes, please explain:

Any medications that need to be administered?

What are meds. for?

Times & Doses.

Any favorite toys or games?

Any favorite hiding places?

Are pets allowed outside?    Yes   No                 

If outside, does your pet need a leash?  Yes   No

Are pets allowed inside?     Yes   No

Allowed on furniture?        Yes   No

Allowed to have people food or treats? If so, how often & what kind?

Does your pet get along with other animals?

Any bad habits we need to watch for?

Please describe anything else you feel is important for us to know to care for your pets: