Pet Profile Form - The Pawington

Client Information

This form is only for already existing clients adding a new pet to our records

Client's Name(Required)

First Last

Pet Guest Information

Pet guest type

Dog

Cat

Dog Information

Dog's Name(Required)

Primary Breed(Required)

Weight(Required)

Color(Required)

Age/Birthdate(Required)

Check all that apply:(Required)

Male

Female

Spayed

Neutered

Unaltered

Has your dog ever attended a daycare or boarding facility in the past?(Required)

Yes

Has your dog ever bitten another dog or person?(Required)

Yes

If yes, please explain:(Required)

Has your dog displayed any of the following reactions? (Please check all that apply)

May bite

Growls

Snaps

Shows teeth

Trembles

Freezes

Moves away

Your dog plays best with:

No Dogs

Big Dogs

Little Dogs

Older Dogs

Puppies

Cat Information

Cat's Name(Required)

Primary Breed(Required)

Weight(Required)

Color(Required)

Age/Birthdate(Required)

Check all that apply:(Required)

Male

Female

Spayed

Neutered

Unaltered

Is your cat litter box trained?(Required)

Yes

DOG MEDICAL HISTORY

Is your dog currently taking any medications?(Required)

Yes

NOTE: IF CHECKED YES, PLEASE COMPLETE AND SIGN A MEDICATION ADMINISTRATION FORM FOR EACH PET

The Pawington cannot offer services to dogs with seizures, congestive heart failure, significant heart murmurs, and other serious health conditions. For these ailments, please use a medically prepared veterinarian. We apologize for the inconvenience.

Please inform us prior to any visit if your dog is experiencing coughing, sneezing, or GI issues.

Does your dog have any previous or current injuries, physical problems or health concerns, including allergies?(Required)

Yes

If yes, please explain:(Required)

Does your dog have any physical restrictions while playing, or sensitive area on the body?(Required)

Yes

If yes, please explain:(Required)

DOG VACCINATION REQUIREMENTS

The Pawington requires these vaccines for dogs:

Rabies
DHLPP
Bordetella (if never received, must be administered 7+ days prior to services)
CIV (Canine Influenza Virus - first shot is required prior to using services)

To upload your vaccine records, you can use the online form on our website at https://thepawington.com/vaccine-form/. If your records are unavailable, you can request our front desk contact your vet. Titers for some vaccines may rarely suffice on a case by case basis, contact our front desk.

Is your dog currently on a flea preventative medication? (Required for all guests)(Required)

Yes

Date it was last given:(Required)

If The Pawington finds evidence of ticks or fleas, necessary treatment will be provided at owner's expense.

Shampoo Selection

The Pawington administers free departure baths for guests boarding for 7+ nights.
You may change this selection at any time by speaking to our front desk.

Shampoo preference

Oatmeal Shampoo & Conditioner

Hypoallergenic

Tearless Plum Shampoo

CAT MEDICAL HISTORY

Is your cat currently taking any medications?(Required)

Yes

NOTE: IF CHECKED YES, PLEASE COMPLETE AND SIGN A MEDICATION ADMINISTRATION FORM FOR EACH PET

Are any of these medications for their heart or seizures?(Required)

Yes

Is your cat displaying any symptoms such as coughing, sneezing, or upset stomach?(Required)

Yes

Does your cat have any previous or current injuries, physical problems or health concerns, including allergies?(Required)

Yes

If yes, please explain.(Required)

Does your cat have any physical restrictions while playing, or sensitive areas on the body?(Required)

Yes

If yes, please explain.(Required)

CAT VACCINATION RECORDS

Please list the current expiration dates for the following vaccinations (for indoor cats, a waiver for FELV may be submitted by your vet.) The front desk can contact your vet directly for proof of vaccines if needed.

Rabies expiration date(Required)

FVCRP expiration date(Required)

FELV expiration date(Required)

Is your cat currently on a flea preventative medication?(Required)

Yes

Date it was last given:(Required)

CAT PERSONALITY

Please check all answers that describe your cat's personality:(Required)

If Other, please describe.(Required)

Please check all answers that describe your cat's attributes:(Required)

Likes to scratch

Fears noises

Meow's excessively

Separation anxiety

Low activity level

Medium activity level

High activity level

Other

If Other, please describe.(Required)

I, the undersigned, hereby acknowledge and agree that all of the information is complete and accurate to the best of my knowledge. I further attest that if I am not the sole owner or representative of the dog subject to this application, that my signature is sufficient to enter into this application for and on behalf of any other owner or representative.

Client Signature(Required)

Date(Required)

Vaccine Information

For your convenience, The Pawington's front desk can retrieve records from your veterinarian if desired, or you can upload your vaccine records here.

I want to upload my own vaccine records

I want The Pawington to contact my vet for vaccine records

Client's Name(Required)

First Last

Email(Required)

Pet's Name(Required)

Dog - Vaccines Administered (if known)

Rabies

DHLPP

Bordetella

CIV (Canine Influenza)

Cat - Vaccines Administered (if known)

Rabies

FVRCP

FELV (waiver available for indoor cats only)

Vaccine Records

Drop files here or

Max. file size: 25 MB, Max. files: 5.

Veterinarian Clinic Used for Vaccines

City of Clinic

Clinic's Phone Number (if known)

Comments

This field is for validation purposes and should be left unchanged.