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DOG INFORMATION SHEET

 


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DOG INFORMATION SHEET(To print form, scroll to the bottom and click on PRINT)Date:__________________Email Address: _________________________________Telephone (cell, home, office):_________________________________________________________________________

Emergency Person’s Name and Telephone(s):________________________________________________________________


**Please fill out one form for each dog so that we may provide the best possible
care for your pet.  Thank you

Owner Name: _____________________________________________

Dog Name: _____________________________________________


Male / Female                    Spayed / Neutered

Microchipped: Yes □ No □ Chip Number: ______________________

Breed: ____________________________________Colors/markings: ____________________________________

 

Weight of Dog: __________________ Age of Dog (mm/dd/yy): ______________________

Medications: ____________________________________________________________________________________________

Is your dog allergic to bee stings?  YES   NO  I Don’t Know
If yes, what steps would you like Woof-Purr LLC to take if your dog is stung by a bee?___________________________________

_______________________________________________________________________________________________________

Leash/Collar Description(Highly recommend a harness or Martingale Collar for safety) : __________________________________

Location of leash/walk pointers:______________________________________________________________________________

_______________________________________________________________________________________________________

Caged / Run of the House / Outdoors / Limited to:

_______________________________________________________________________________________________________

Feeding Time: __________________________________Treats:____________________________________________________

Feeding Instructions: ______________________________________________________________________________________

________________________________________________________________________________________________________

Walk Route: ______________________________________________________________________________________________

________________________________________________________________________________________________________

Favorite Toys/Games: ______________________________________________________________________________________

Precautions (other dogs, people, cats, scared of): _________________________________________________________________

_________________________________________________________________________________________________________

What commands does your dog know?

_________________________________________________________________________________________________________

Anything else we should know: ________________________________________________________________________________

 

*This form will be kept on file for all future visits. Please advise of any changes by email.

I, __________________________, have entered the above information as truthfully and accurately as possible.

 

______________________________________     ________________________

Client Signature                                                       Date


 

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Posted in forms by Colleen Jones on October 21st, 2014 at 2:32 am.

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