Dog Information Sheet Pet Name: Owner: Breed: Age: Colour/Markings: Gender: MaleFemale Spayed / Neutered: YesNo Vaccinations Up To Date? YesNo Microchipped? YesNo Emergency Contact (Name/Phone): Lead/Collar Location: Happy to give treats/rewards? YesNo History of aggression? YesNo If YES, please advise: History of anxiety? YesNo If YES, please advise: Any breed/type of dog they may not walk well with? OK to walk off lead? YesNo Do you agree to them being walked OFF lead? YesNo OK to walk in a group? YesNo Comfortable being transported in a vehicle? YesNo Command words they understand: Vet Clinic: Vet Phone: Anything else we should know? I have entered the above information as truthfully and accurately as possible. Client Signature: Your typed name serves as your signature Date: *This form will be kept on file for all future visits.
