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Dog Vacay Discussion Guide

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Dog Vacay Discussion Guide
Contact and Vacay Info
Dates of Vacay:
________________
Pet’s Name: __________________
Drop-off time:
Pick up Time: _________________
________________
Pet Parent’s Name:______________________________________________________________
Pet Parent’s Phone Number: ______________________________________________________
Emergency Contacts/Relationship: _________________________________________________
Preferred Method of Contact and Frequency for Updates:________________________________
Pet Info
Age:_____________Spayed/Neutered Yes
No
Microchipped
Yes
No
If Microchipped, Company and Chip #: _____________________________________________
Breed: ______________________ Color: ___________________ Unique Markings: _________
Preferred Veterinarian Name and Number: ___________________________________________
_____________________________________________________________________________
Date of Last Vaccinations: _______________________________________________________
Rabies
Yes
No
Bordatella
Yes
No
DHLP (Distemper, Influenza, Parvo
Yes
No
Type of flea and tick treatment: ___________________________________________________
Pet Care
Food and Acceptable Treats: ______________________________________________________
Feeding Times and Amounts: _____________________________________________________
Walking and Bathroom Schedule: __________________________________________________
Medication Required? Yes
No
If yes, please list the name of medication, dose, and
schedule for dosing here: _________________________________________________________
Where does the pup sleep?
Dog bed
Owner’s bed
Crate
What length of time is the pet okay being left alone?
Other
________________
Can’t be left alone
2-4 hours
4-6 hours
6-8 hours
Behavior and Tips
Has your dog spent time with people outside of your immediate family? Is he/she comfortable
around strangers and children?
Yes
No
Does your dog enjoy being around other dogs?
Yes
No
Other, please explain
What size dog has your dog been around?
Small
Medium
Large
None – only spends time with my family
Has your dog ever been fearful of another dog or been in a scuffle with another dog? What were
the circumstances surrounding that incident?
Yes
No
Has your dog ever chewed on, eaten or marked something that they were not supposed to? What
were the circumstances surrounding that incident?
Yes
No
Has your dog ever suffered from any stress or anxiety when being away from you or from being
home alone?
Yes
No
If yes, do you have any tips for keeping him or her calm?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
__________________________________________________________________________
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