Client Contact And Information Form

It is important that our database contains as much information as possible about our clients, their pets, and their caregivers, especially if an emergency were to arise. Please fill out the form and click submit at the end of this page.

PLEASE NOTE: Prior to any care beginning, please be sure to email or have your vet email us complete and updated vaccine records. Please be sure to include official records from a licensed veterinarian only that shows when all necessary vaccines were given and when they need to be repeated. 

All mandatory vaccine record information listed just below. 

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Within the last three (3) years:

  • Rabies
  • Canine Distemper
  • Canine Hepatitis
  • Canine Para influenza
  • Parvo

Within the last six (6) months:

  • Bordetella  (during previous 6 months )
  • Vaccinations must be administered at least 48 hours prior to arrival under the supervision of a licensed veterinarian.
  • All dogs should be flea and tick free

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Please type in the letters ‘NA’ (not applicable) in all the fields that do not apply to you. All fields are required to be filled in. Otherwise the form can not be submitted.

Client Contact and Information Form
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  6. Owner(s):
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  9. (valid email required)
  10. (A) Telephone Numbers:
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  17. Telephone Numbers (B):
Veterinarian Information
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Other Pertinent Information Regarding Your Dog's Care
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  2. Important Note:
    Please make sure you have a non retractable/non elastic leash(s) for us to use
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