CLIENT INTAKE FORM (Feline) Client Intake Form (Feline) Pet Info Pet's Name * Age * Birthdate Estimated? Yes No Gender * -Select- Male Female Spayed/Neutered * -Select- Y N Microchipped * -Select- Y N Microchip # Breed * Color * Section Buttons Contact Info Pet Parent's Name * Address * Phone Number * Email * Emergency Contact (other than spouse) Relationship to Pet Parent? Phone Number Section Buttons Pet Care Feeding Amounts/Frequency * Treats Allowed (specific, any, etc.)? * Medication Required? * -Select- Yes No If yes, please list the name, dose, and schedule here: Is your pet allowed on furniture? * -Select- Yes No In the event of a medical emergency, we will use our best judgment to care for your pet. Please tell us with which perspective we should consider treatment options: * -Select- My pet is a member of the family; all measures should be taken to save his/her life. I love my pet, but I must also think about my family's financial well-being. I do not believe in spending significant amounts of money on pet medical bills. Section Buttons Home Access Location of Food * Brand Does your pet use a litter box? * -Select- Yes No Where is this located? Location of Cleaning Supplies * Does your pet have any favorite toys? * Where does your pet stay when left at home (free run, specific room, outside, etc)? * Does your pet have any favorite hiding places? * Please describe how we should access your home for visits? (Be sure to note any keys, alarm codes, etc. that our sitters may need) * Section Buttons Behavior and Tips What else should we know about your pet (behavior concerns, fears, etc.)? Any specific instructions? Section Buttons Submit
