OWNER INFORMATION Initial date:

Transcription

1 PTV OWNER INFORMATION Initial date: Date: Date Client Client Name Pet Pet Prescott, AZ. Client phone (Cell / Home / Work ): Breed: Sex: [ M MN F FS ] Canine Dog / Feline Cat / Lapine Hare / Rhombomine Gerbil / Cavine-Guinea Pig / Terrapine Turtle / Geochine Tortise / Cricetine Hamster / Musteline Weasel / Butine Hawk PET INFORMATION ADD PICTURE HERE Date of Birth: Coloring: Age: Pet Pets-to-Vet.com V.1.5 Wgt X lbs Wgt X lbs (as of ) Altered (Y/N) XX oz XX oz pets2vet@outlook.com Temp xxx.x Temp xxx.x Date: Date: (928) Pg. 1

2 Authorized Service providers Vet DVM Groomer Tech Kennel Other Pet Chip Information: Immunization (see Vaccination sheet) V.1.5 Pg. 2

3 Medications Name Description Dosage Known Conditions / Allergies Allergic to Description Comment Conditions Description Comment V.1.5 Pg. 3

4 Pet Questionnaire Question Answer When did you acquire pet Where did you acquire pet Describe pets overall temperament. Does pet jump on people Does pet pull on leash Never / Occasionally / Often / Does pet jump on furniture Does dog bark Almost / / Does dog bark at appropriate times, but doesn t stop on command Does dog bark at inappropriate times, but doesn t stop on command Is there anything pet is afraid of (thunderstorm, loud motorcycle) If yes, how do you calm Has your pet ever bitten person other animal If yes, please describe Does pet escape If yes, how do you retrieve Has pet reacted negatively toward a person Is yes, inside or outside Has pet reacted negatively toward a dog Has pet reacted negatively toward a cat Has pet reacted negatively toward another type of animal Is there anywhere your pet does not like to be touched / / If yes, what type. If yes, where. V.1.5 Pg. 4

5 Pet Questionnaire Question Answer Does your pet share water / food / toys If yes, please provide details. Can you take food from pet Does pet jump fences (6 ft) Does pet play well with large dogs / small dogs Does pet chase dogs / cars / squirrels / birds / rabbits / other Does your pet have separation anxiety Can pet have treats Can pet have peanut butter Does pet have activity restrictions Anything Groomer should be aware of: (clipping, nails, blower, other) Anything else that PTV / Vet / Groomer should know? / If yes, which If yes, what type. If yes, what If yes, what If yes, what V.1.5 Pg. 5

6 Vet Visits Information Description Notes Date Clinic: Purpose: Description Attending DVM Tests Performed Results Diagnosis Prescribed Action Prescribed Medication Date Purpose: Description Attending DVM Tests Performed Diagnosis Prescribed Action Prescribed Medication Date Purpose: Description Attending DVM Tests Performed Diagnosis Prescribed Action Prescribed Medication Clinic: Clinic: Results Results V.1.5 Pg. 6

7 COMMANDS Pet responds to Select from the following or- Add: around Go to bed Bang Heel bow high five bring it how bad you want it Clicker leave it/icky Come Light (turn light on) come Name crawl No dance off double high five okay Down on your bed Drop (let go of something) Open door drop it Paw Fetch Play dead Find a good spot Poop Go potty Release (OK to move) ABBREVIATIONS Roll over Shake Shake hands Sit Sit Pretty Speak Stand Stay stay through under wait wave where's your sissy KK MHAH PAH PEC PVPC Kennel Kamp Mile High Animal Hospital Prescott Animal Hospital Pet Emergency Clinic Prescott Valley Pet Clinic V.1.5 Pg. 7