Pet Profile Record Form Page 2

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Does your pet have any allergies to foods, medications or other substances?
Yes
No If yes, please describe:
Veterinary Clinic:
Veterinarian’s Name:
Address:
City:
State:
Zip:
Phone Number:
Web Address:
BEHAVIORAL INFORMATION
Please describe your pet’s preferences, dislikes, phobias or habits:
Please list verbal and nonverbal commands your pet responds to, as well as body language used to communicate:
Does your pet respond to routine commands such as “sit,” “stay” or “down”? If so, please list them:
What is your pet’s daily routine? (Examples: walking, feeding, playing, bedtime, etc.)
Is your pet allowed outside?
Yes
No
Does your pet have free access to your home?
Yes
No
Does your pet like children?
Yes
No If yes, what ages?
Does your pet like other animals?
Yes
No Explain:
No Please describe the items and note where they are
Does your pet have any favorite toys or possessions?
Yes
kept:
No Please describe:
Does your pet enjoy games such as fetch, tug-of-war, etc.?
Yes
SPECIAL PET CARE INSTRUCTIONS
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