Pet & Veterinary Information Dog Walking Sitting | Julspops Dog Walking & Pet Sitting

Has the pet ever bitten, or acted aggressively toward a person or other animals/dogs? (hackles, growls, lunges, air snaps, contact, bites)?

Yes No

If yes, please explain:

Is the pet friendly toward children?

Yes No

If no, please explain:

Excessive leash pulling? Chases squirrels, cats, roller blades, skateboards, bikes??

Yes No

If yes, please explain:

Are you aware of any reason I should approach the pet with caution?

Yes No

If yes, please explain:

How does the pet react to your absence from home?

Attempts to dart through an open door?

Yes No

Any behavioral concerns (resource guarding, storm/noise phobias, separation anxiety etc.;)?

Yes No

If yes, please explain:

Any limited or impaired sensory functions (deaf/blind)?

Yes No

If yes, please explain:

Is Your Pet Licenced

Yes No

Pet Gender

Female Male

Spayed / Neutered / Neither

Spayed Neutered Neither

Is Your Pet Microchipped? If Yes, Provide #

Vaccinated for Rabies

Yes No

Vaccinated for DHPP

Yes No

Vaccinated for Bordetella (Kennel Cough)

Yes No

Vaccinated for Lepto

Yes No

Vaccinated for Lyme

Yes No

Any Other Vaccinations?

Flea & Tick Prevention: Start Date:

PLEASE NOTE: Copies of current vaccinations must be provided for service to be implemented this is for the safely of your pet, and anyone around that we may meet on our walks, whilst in my care.

If this form is being completed due to updated information and a copy has already been provided no further copy is necessary however; it has to be their current vaccine certificate on file.

Health & Medication Details

Is your pet on any MEDICATIONS? Medical, Diabetic or Allergy related, if, yes please fill out the information below. Each medication MUST be listed separately along with the instructions. If more than two medications another form will be provided.

What is the pet’s illness?

What Medication is your pet on? Please list medications:

Amount to Administer

Authorization

I authorize Julspops Dog Walking to adminster medication as indicated on this form.

Amount to Administer

Authorization

I authorize Julspops Dog Walking to adminster medication as indicated on this form.

Feeding Instructions

Feeding instructions are to be provided by the client either in an email or instructions to be left at the time of service and when feeding is required. Feeding for your pets can change periodically, due to age, senior pet, from a puppy to an adult, and so forth. This way the feeding instructions are always up to date. Thank you.

Locations & General Information

Can Opener (if applicable)

Medications / Vitamins

Pet Cleaning Supplies

Is your yard fully fenced?

Yes No

Does your pet use a pet door?

Yes No

Is your pet crated?

Yes No

If yes, location of crate?

Any other notes or details?

Consent for Pet Sitter to Authorize Medical Treatment

I, the owner of the above-named pet, request that Julspops Dog Walking & Pet/House Sitting Services provide routine care for my pet while I am away from home per my written instructions.
Should an injury or illness occur to my pet that requires veterinary care during my absence, I authorize Julspops Dog Walking & Pet/House Sitting Services the pet sitter to act as my agent in procuring veterinary care, with fees not to exceed the amount noted below, per pet. I understand that Julspops Dog Walking & Pet/House Sitting Services assumes no responsibility for the loss of any pet and is released from all liability related to transportation, treatment and expense.

Special Instructions*

I Agree:

I agree to pay the fees for such professional veterinary services as soon as possible after I return and, in the absence of gross negligence, will not hold Julspops Dog Walking & Pet/House Sitting Services the pet sitter liable for injuries or illnesses suffered by my pet or any fees for veterinary services incurred on their behalf. I hereby authorize Julspops Dog Walking & Pet/House Sitting Services the pet sitter to seek veterinary services in order to provide essential medical or surgical services with my consent from:

Primary Veterinary Clinic:

Preferred Urgent Care Veterinary Facility:

Authorization & Consent

I understand that Julspops Dog Walking & Pet/House Sitting Services reserves the right to utilize the services of any available veterinary clinic in the event of an emergency.

I authorize intensive medical care efforts for my pet.

I Do I Do Not

I have contacted my pet’s local veterinarian to inform them that I will be absent.

I have I have not

I have also informed my veterinarian that Julspops Dog Walking & Pet/House Sitting Services, the pet sitter, may seek veterinary services in my absence.

I have I have not

In the event the attending veterinarian determines that my pet is suffering and/or is incurably injured, I give my consent for euthanasia.

I Do I Do Not

If my pet should die or is euthanized, I request the following:

The body be retained until I return Be individually cremated Be communally cremated

I agree to pay the fees for such services.

Final Acceptance and Submission

I certify that all of the above information is true and correct to the best of my knowledge, and that I will notify Julspops Dog Walking & Pet/House Sitting Services of any changes immediately.

Pet Owner's Address*

Privacy Policy:
Julspops Dog Walking & Pet/House Sitting Services will not share any of your personal & confidential information that is provided at time of service with any third party. All information is held in a secured location. Bonded & Insured with PROfur.

Pet & Veterinary Information Form Dog Walking & Dog Sitting

Pet Information

Personality/Behaviour Details

Other Pet Details

Vaccine Information

Health & Medication Details

Medication #1

Medication #2

Feeding Instructions

Locations & General Information

Consent for Pet Sitter to Authorize Medical Treatment

Authorization & Consent

Final Acceptance and Submission

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