Owner's Name
Phone #
Pet(s) Name(s)
Species/Breed
Age/Weight/Sex/Spayed--Neutered?
Medications / Special Conditions:
Allergies:
Habits and Temperament:
Location of Leash:
Exercise Instructions:
Location of Food:
Location of Plastic Bags:
Where to place filled bags:
Location of litter boxes / scooper, etc.:
Has the animal ever bitten anyone?
Is the animal protective of food, water, toys, the home?
Is the animal afraid of anything? How does he react?
Does the animal obey commands? What commands?:
Does the animal get along with other animals?
Is there anything else I should know about this pet or this visit?
May my son accompany me to this visit? (Zac will be 14 years old in August and is fully covered under
my insurance):
Key information:
Emergency Contact Information:
