Pet Health Profile

NOTE: Please complete one form for EACH pet staying at Claws and Paws Inn.

Client Information

Name

Address

City

State

Zip

Phone

Other Phone

Email:

Emergency Contact

Name

Phone:

Pet Information

Dog Name

Cat Name

Dog Breed

Cat Breed

Date of last:

Rabies:

Distemper/Parvo

Bordatella

Date

Has your pet been Neutered/Spayed?

Name & phone of Veterinary Clinic

Additional Health Information

Is your pet on any medications? (use the back of this sheet if more room is needed)

Does your pet have any allergies?

Any health issues that the Staff should be aware of?

Are there any restrictions to activities while at the Inn?

Is your pet on a special diet?

Can we give your pet treats?

Any other comments to help the Staff care for your pet?

Signature

Sign above

Date

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