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ARRIVAL INFORMATION

NAME________________
DATE________________SEX_________AGE________ SPAY / NEUTERED_______
APROX. BIRTH DATE____________________________________________________
BREED_________________________________________________________________
DESCRIPTION__________________________________________________________
_______________________________________________________________________
FOUND WHERE_________________________________________________________
HISTORY_______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
___


VACCINATIONS TO
DATE________________________________________________
SKIN CONDITION_______________________________________________________
BODY WEIGHT_________________________________________________________
TICK AND FLEA INFO___________________________________________________
WOUNDS_______________________________________________________________
SCARS_________________________________________________________________
TOOTH AND GUM INFO__________________________________________________
EARS__________________________________________________________________
EYES__________________________________________________________________
_
APPETITE______________________________________________________________
ATTITUDE______________________________________________________________




AFTER ARRIVAL


FIRST VACCINATION____________________________________________________
BATHING/DIP___________________________________________________________
DEWORMING___________________________________________________________
STOOLS________________________________________________________________
BEHAVIOR WITH OTHER DOGS__________________________________________
_______________________________________________________________________
_______________________________________________________________________
__
Shelter Intake Form for New Dog Arrival

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Shelter Intake Form for New Dog Arrival

  • 1. ARRIVAL INFORMATION NAME________________ DATE________________SEX_________AGE________ SPAY / NEUTERED_______ APROX. BIRTH DATE____________________________________________________ BREED_________________________________________________________________ DESCRIPTION__________________________________________________________ _______________________________________________________________________ FOUND WHERE_________________________________________________________ HISTORY_______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ___ VACCINATIONS TO DATE________________________________________________ SKIN CONDITION_______________________________________________________ BODY WEIGHT_________________________________________________________ TICK AND FLEA INFO___________________________________________________ WOUNDS_______________________________________________________________ SCARS_________________________________________________________________ TOOTH AND GUM INFO__________________________________________________ EARS__________________________________________________________________ EYES__________________________________________________________________ _ APPETITE______________________________________________________________ ATTITUDE______________________________________________________________ AFTER ARRIVAL FIRST VACCINATION____________________________________________________ BATHING/DIP___________________________________________________________ DEWORMING___________________________________________________________ STOOLS________________________________________________________________ BEHAVIOR WITH OTHER DOGS__________________________________________ _______________________________________________________________________ _______________________________________________________________________ __