Care and Consent Info

Consent and Care Information for Walks and Drop-in Visits

Please fill out the following form
to consent for care, provide emergency contact and care information.

Parent first name

Parent last name

Phone number

Fur babe name

Fur babe breed and age

Address

Emergency contact informationn including name and phone number

Food and meal information

Fur babe allergies

Medications and dose

Preferred vet

Consent to use my vet (Richmond Road Animal Clinic) if unable to get appointment with preferred vet

Yes

Consent to use my vetted backup assistants if I am unable to walk or check on your babe

Yes

Please describe any behaviors or information that may be pertinent

I guarantee my babe is up to date with vaccinations, including the Bordetella vaccine. [Please upload digital copy of vaccination records below.]

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