PET INFORMATION SHEET FOR NEW RESCUE DOGS THE HOFFER FAMILY FOUNDATION

Pet's name and Date of Birth:

Date of turn in:

Gender:

Reason for surrender:

Your name and address:

Phone:

Email:

Neutered:

Heartworm positive/negative:

What heartworm medication was the dog on?

Last dose and brand of HW med:

Time owned:

Where did you get pet?

Medical history:

Medications and CHIP NUMBER

Training:

Housetrained:

Destructive:

Crate trained:

Food or toy aggressive:

Children friendly:

Cat friendly:

Afraid of:

Afraid of other things:

Has the dog always lived inside?

How long has the pet been left alone daily?

How many times does the pet go out during the day?

Last time out at night?

First time AM?

What does the pet eat? Be specific on food, amount per meal and brand

How much per meal?

Do you mix the food?

If yes with what?

Who was the main caretaker?

Has the pet been in a private kennel?

If yes, which Kennel? Name and Number:

What commands does the dog know such as sit, come, down and leave it?

Select those the dog does regularly:

Have you done any formal socialized training:

Special Comments or Conditions:

Vet's name and phone:

Comments: