Client, Vet, + Assignment Information
PLEASE READ BEFORE BEGINNING:We require all appropriate forms to be filled out COMPLETELY before any assignment begins. This process will allow us to provide the best possible care for your pets and your household.

Your privacy is extremely important to us. Two Dogs Pet Services will not share any of your information (including but not limited to: phone numbers, addresses, email addresses, key location, alarm/security information) without your prior written authorization.
Basic info: Name (first + last), address, email, cell phone number *
List all adult pet owners living in the household who are authorized to make pet care decisions for the pets in Two Dogs Pet Services care.
Local Emergency Contact(s) + phone number(s), location of extra key, alarm information, special instructions regarding locks, gates, etc. *
Please list any friends, family, neighbors whom you trust to care for your pets in case of an emergency. Two Dogs Pet Services will attempt to contact you and/or your emergency contact(s) you have provided if there is a need for veterinary treatment. Please let us know if your emergency contact changes.
Pet's Name(s) and descriptions (ALL pets in the household must be listed, even if we aren't caring for surprises, please) * *
Please include Species/Breed, Description(s): Age(s): Medical conditions/medications:
If any of the pets named above becomes ill or is injured, I request that Two Dogs Pet Services take the pets to my preferred veterinary hospital listed below, or if they are closed, the Emergency Veterinary Hospital listed below (MUST be open all night and on Sundays). *
Please include hospital names, addresses (including city and zip code), and phone numbers
If you are unreachable at any time while we are caring for your pet(s), please provide an accepted payment method so that we may seek veterinary care should your pet(s) become ill or injured. Please check with your preferred veterinary hospital for their policies on billing. Do not assume they will bill you for services...most will not; we want your pets to receive emergency care if needed! *
You can leave emergency means of payment with your local emergency contact, hide it in your home and let us know where only in the event of an emergency, for example. Let us know in the space below, how you will be paying for emergency services, if needed.
If neither of the veterinary offices named above is available, I authorize Two Dogs Pet Services to choose a different veterinary office for treatment. I understand that Two Dogs Pet Services cannot be held responsible for the results of the veterinary treatment or the loss of my pet(s). *
I have requested that Two Dogs Pet Services take care of my pet(s). I agree to pay the charges accrued for the services provided as outlined in this agreement and will adhere to the payment policies as outlined in the Policies and Procedures form. *
I understand that payment is due on or prior to the first visit and have completed the Policies and Procedures Form.
Rate per visit: *
All quotes given are the cash discount rates. If paying via PayPal or credit card there will be a rate adjustment.
Discount, special offer, or coupon:
Please be specific.
Date of first visit: *
Time of first visit: *
Your pet's caretaker will arrive within 30 minutes before or after the time you choose.
Date of last visit: *
Time of last visit: *
Your pet's caretaker will arrive within 30 minutes before or after the time you choose.
Total number of visits: *
Please list types of visits and the amount of each type separately (ie: AM = 4, PM = 3)
Additional duties:
Such as: bring in mail/papers, water plants, put out trash cans/recycling (specify when + how often these things should be done), other (please specify)
Where and how can we reach you while you are away? *
Be specific: Cell number, email, place you'll be staying, etc)
Do you want us to continue to visit if we do not hear from you? (If yes, you are responsible to pay additional visit charges within 3 days) *
By submitting this form, you are stating that you have read, understand, and agree to the content of this online agreement. *
Enter your first and last name + date.
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