Pet & Vet Form

Please review the POLICIES & PROCEDURES document.

Veterinarian Authorization 

This form will be retained on file and will be used to authorize urgent veterinary treatment only in the event that your pet(s) requires such treatment during your absence. The lower portion is in the event your veterinarian is unavailable and/or we are unable to contact you for other instructions.

Should you change your veterinarian please notify us as soon as possible.

(*) Required Fields

Pet & Vet Information Form














Sex: MF

Pet Type:












Spayed or Neutered: YesNo

Microchiped: YesNo













MEDICATIONS

If your pet takes medications / supplements, please list them below



















GENERAL INFORMATION

Food Allergies? YesNo

Is your pet completely housebroken / litter trained? YesNo

Has your pet ever bitten/scratched anyone? YesNo

Does your pet get treats? YesNo

Is your pet food motivated? YesNo

Is your pet food aggressive? YesNo

Does your pet get along with dogs?

Does your pet like cats?

Is your pet hyperactive? YesNo

Can your pet be picked up? YesNo

Is your pet generally aggressive? YesNo

Does your dog play bite? YesNo

Does your pet like children?

Does your pet like men?

Does your pet like women?

Is your dog used for hunting? YesNo

Is your cat an indoor cat? YesNo

Is your dog used for guarding? YesNo

Does your pet like riding in cars?

Does your pet like to be groomed?

Does your pet like to play in water?

Does your pet like to chase balls?

Does your pet have the run (fly, hop, slither) of the house? YesNo


Anything else we should know: (such as how does your pet react when you are not home, additional health advisories or specific instructions)










Veterinarin Authorization






I authorize you to treat my animal(s) and I will be fully responsible for all fees and charges and will pay for all charges incurred on my behalf upon my return. I further authorize you to give out any information about my animal(s) to The Happy Pet Caregivers LLC as needed."YesNo


To whom it may concern: I have contracted for services from The Happy Pet Caregivers LLC during my absence and authorize them to act on my behalf to request emergency veterinary treatment and services if deemed necessary. I accept full responsibility for charges incurred in the treatment of my pet(s). YesNo


* I've read and accept the Policy & Procedures YesNo