Pet Profile Form - The Pawington

Comments

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

Client Information

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

Pet Guest Information

Dog Information

Dog's Name(Required)

Primary Breed(Required)

Weight(Required)

Color(Required)

Age/Birthdate(Required)

If yes, please explain:(Required)

Cat Information

Cat's Name(Required)

Primary Breed(Required)

Weight(Required)

Color(Required)

Age/Birthdate(Required)

DOG MEDICAL HISTORY

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.

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)

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.

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.

CAT MEDICAL HISTORY

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

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)

Date it was last given:(Required)

CAT PERSONALITY

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.

Date(Required)

Vaccine Information

Email(Required)

Pet's Name(Required)

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)