New Dog/Puppy Information Form

* Please use this form to request an appointment with us. While we strive to accommodate your preferred day and time, please note that your appointment is not fully booked until you receive a confirmation from us!

Pet's Name

Breed

Colour

Sex

Male Female Neutered Spayed

Date

Length of time you have owned your pet :

Confined To :

House Fenced Yard Roams Other

Other Pets :

No Yes

If yes, animal type :

Date of Last Deworming :

Type

Previous Veterenian

Heartworm Prevention :

Not Tested Tested

Date, if tested :

Do you trim your pet's nails ?

Yes No

Where does your pet sleep ?

My pet's weight is :

Ideal Too High Too Low

Is your pet currently on medication ?

Yes No

If yes, what medication ?

Do you brush your pet's teeth ?

Yes No

Are you familiar with the grooming requirements of this breed ?

Yes No

Do you travel/vacation with your pet ?

Yes No

Do you board your pet regularly ?

Yes No

Did you plan or are you planning to attend obedience classes with your pet ?

Yes No

Do you intend to take your pet for walks ?

Yes No

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