Pet Profile Record Form

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Complete Pet Profile Record Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

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Pet Photo
Please also email a photo of your pet
when you submit this profile.
PET PROFILE
(Your pet’s photo will be placed in this
area of the form for record-keeping)
Help your pet’s temporary guardian provide the
best possible care by giving us as much detail as possible.
This information will also help the Dumb Friends League
place your pet in a new home.
PET OWNER
Name:
Profile Date:
Address:
City:
State:
Zip:
Primary Phone Number:
Email:
PET GUARDIAN (IF ALREADY ESTABLISHED)
Name:
Address:
City:
State:
Zip:
Primary Phone Number:
Email:
PET INFORMATION
Name:
Type of Animal:
Birthdate/Age:
Sex:
Male
Female Has your pet been spayed/neutered?
Yes
No
My pet has:
an identification tag
a tattoo number
a microchip
Serial Number:
MEDICAL HISTORY
Please provide a brief health history for your pet:
No If yes, please describe:
Does your pet have any recurring health problems?
Yes
Is your pet currently on any medications?
Yes
No If yes, please describe:
Does your pet have any special dietary requirements?
Yes
No If yes, please describe:

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