Skip to content

PROFESSIONAL PET CARE SERVING THE UPPER VALLEY

Pet Sitting Services
Client Intake Paperwork
Contact Us
Facebook
Pet First Aid & Wellness

Contact Us

Email:
uvpc@uppervalleypetcare.com

Telephone:
603-291-3043

Phone Hours:
Monday-Friday: 8:00am-6:00pm
Saturday: 10am-4pm
Closed Sunday

Reptile Information

This is our Reptile Information Form, please fill out ONE FORM PER EACH PET. Please answer ALL questions and information completely.

Name of Primary Pet Owner: *

First

Last

Phone Number *

Email *

Preferred Method of Contact

Call
Text
Email

Name of Secondary Pet Owner:

First

Last

Phone Number

Email

Preferred Method of Contact

Call
Text
Email

Name of Pet: *

Type of Pet: *

Breed: *

Colors/Markings: *

Date of Birth: *

Sex: *

Is your pet spayed or neutered? *

Weight: *

How long have you had this pet? *

Did you get this pet as a: *

Is this pet microchipped: *

Health Information

General Health Information: *

Any history of, or current illness or disabilities with this pet? *

Are there any physical lumps, warts, skin tags, abnormalities, or other noteworthy things the pet sitter should be aware of? *

Is your pet current with vaccinations? *

Rabies Tag #:

Expiration Date:

List any medications/supplements including Name of meds, Dosage, What time it is given and How it is administered: *

Behavioral Information

How would you rate your pets general behavior? *

Excellent
Very Good
Good
Average
Poor
Challenging

In a few words, please describe your pets personality: *

How would you rate your pets energy level? *

Low energy
Average
High energy
Hyperactive

Has your pet ever bitten, scratched, or harmed another person? *

Yes
No

If yes, please explain:

Does your pet get along with new people? *

Has your pet ever had or currently has any aggressive behaviors? *

Is your pet afraid of anything? *

What motivates your pet? *

What is your pets favorite activity? *

Does your pet like to be handled? *

Can your pet be picked up? *

Is the pet allowed out of it's cage/enclosure? *

Ever have accidents in the house? *

Feeding & Care Instructions

Please answer each question below

Brand of pet food: *

Amount fed: *

How often? *

Usual feeding time(s)? *

Any medications/supplements? *

Treats? *

Food Allergies? *

Special Instructions:

Any areas of the house or yard that is off limits to your pet? *

Any other information for your pet sitter or dog walker?

Client Signature

I acknowledge that all of the information is complete, accurate and up to date to the best of my knowledge. I acknowledge that I have read and will adhere to the policies and procedures.

Electronically Sign Here *

Please type your full name

Date / Time *

Date

Time

Email