Desert Sage’s Canine Care
24035 Dodds Road
Bend, OR 97701
(541) 633-6773
Client Information
Owner:
Address:
Phone:
Home :
Cell :
Work:
Email:
Best Contact (during boarding period):
Veterinarian:
Phone:
Pet Information
Name:
Breed(s):
Color:
Sex: (Spayed/Neutered/Intact)
If altered- how old were they?
Date of Birth: ______Microchip #: ______
If you cannot be reached in an emergency, do we have permission to authorize veterinary care for your pet, at the discretion of myself and/or a veterinarian? Y N (see attachment)
General Care questions:
1. What do you feed your dog, how much each meal, and how often?
2. What supplements and/or treats, if any, do you feed?
3. Is your dog currently on any medications?
4. Does your dog have any special health issues? Example: allergies, chronic disease, etc.
5. Does your dog have any unusual habits or behaviors?
6. Has your dog been kenneled within the last several month(s) Y N
7. Is your dog current on Rabies and Distemper/Parvo vaccinations? Y N
(within last 3 years, or are titers performed regularly)
8. With what veterinarian were those shots given?
Behavior questions:
Crate Trained: Y / N Leash Trained: Y / N Dog Aggressive: Y / N
Cat Friendly: Y / N Good on Walks: Y / N Rides in Car: Y / N
Jumps Fences: Y / N Barker: Y / N Accepts Strangers: Y / N
Good with Children: Y / N Uses Dog Door: Y / N Sleeps Loose in House: Y / N
Digs: Y / N Fearful of Thunder/Loud Noises: Y / N
Allowed to run free in the home? Supervised or unsupervised
Allowed to run free in a fenced yard? Supervised or unsupervised
How tall is your fence?
Leashed walks only?
Ever been on agility equipment?
Is your dog possessive of toys or food or other objects? If yes, please explain:
Is your dog afraid of anything? Loud noises, cats, vacuums? Elaborate please-
Do you take your dog to the dog park?
Has your dog ever growled at someone?
If yes, please explain.
Has your dog ever bitten anyone?
Has your dog ever bitten another dog?
Please describe your dog’s level of training:
None
Basic pet manners (sit, down, stay, come)
Advanced Obedience (reliable off-lead come, stay)
Other:
Exercise: How often, and what type of exercise, is your dog used to?
THANK YOU FOR TRUSTING US WITH THE CARE OF YOUR PET. Ourgoal is for your dog to enjoy their stay with us, in a safe and low-stress environment.
QUESTIONS FOR ME?
______