Client & Vet Information
PLEASE READ BEFORE BEGINNING:We require all appropriate forms to be filled out COMPLETELY before any assignment is accepted. 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 authorization.

Name(s) *
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.
Your answer
Phone numbers *
(Home, Work, Cell)
Your answer
Address *
Include Apt/Unit, City, and Zip Code
Your answer
Local Emergency Contact(s) and location of extra key, alarm information, special instructions regarding locks, gates, etc. *
Please include phone number(s) of 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 your sitter know if your emergency contact changes.
Your answer
Pet's Name(s) and descriptions (ALL pets in the household must be listed) * *
Please include Species/Breed, Description(s): Age(s): Medical conditions/medications:
Your answer
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 name, address (including city and zip code), and phone number
Your answer
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; your pet(s) may go untreated. *
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.
Your answer
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). *
Required
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.
Your answer
Charge per visit: *
Check with your sitter. Include the name of the sitter who gave you the quote.
Your answer
Discount, special offer, or coupon:
Please be specific.
Your answer
Date of first visit: *
Your answer
Time of first visit: *
Date of last visit: *
Your answer
Time of last visit: *
Total number of visits: *
Please list types of visits and the amount of each type separately (ie: AM = 4, PM = 3)
Your answer
Additional duties:
Such as: bring in mail/papers, water plants, put out trash cans/recycling (specify when), other (please specify)
Your answer
Where can we reach you while you are away? *
Be specific (address or place, phone number).
Your answer
***PLEASE VERIFY BY TEXT OR CALL WHEN YOU HAVE RETURNED*** *
(626)673-7978
Required
Do you want us to continue to visit if we do not hear from you? *
By filling in your name, address, email, phone number, and date, you have read and understand the content of this online agreement. *
Enter your name, address, email, phone number, and date.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service