Emergency Pet Care Form

In Case of An Accident:

In the event that I, ________________________, am incapacitated and unable to make my wishes known regarding my pet(s), please honor the following requests:

___________________________________is to be contacted as soon as possible at the following phone number(s) _____________________________. 

Call and mention my name. If the above phone number cannot be reached, contact_____________________ at the following phone

number(s)_______________________.

 

All expenses for the pet(s) will be paid by them.

 

If the pet(s) are not injured, they are to be cared for by the nearest reputable boarding kennel, and be kept there in the best possible manner, until such time that arrangements can be made for their transport home.

 

If the pet(s) are injured or ill, they are to be cared for by the nearest reputable veterinarian, I prefer that my own veterinarian _________________________at________________________________ be contacted regarding decisions on the pet(s) care and treatment. If any pet is injured or ill beyond all hope of recovery, that pet is to be humanely euthanized.

 

Photos and descriptions of my pet(s) are attached along with their health records. Any dog(s) are tattooed on the ___________________or microchipped with this/these identification numbers:___________________________________

 

The welfare of my pet(s) is my primary concern.

 

Signature:_____________________________________________

Name:_____________________________________________

Address:_______________________________________________

City, State, Zip:_________________________________________

Phone:____________________________________________