Bi-State Wildlife Patient Admission (Admit)
This form is used to track all patients that come in via the Bi-State Wildlife Hotline. Every animal should have a corresponding admit sheet when it comes in. You are welcome to use the paper forms, but you'll have to input the info here at some point.
Permit Holder's Name
This is the name of the person who is entering this/these animal(s) on their records, under their permit.
Finder's Street Address
Finder's City and State
Finder's Zip Code
Finder's Email Address
How did they hear about us? Who referred them to us?
Online - Google
Pest Control Company
Did Finder Make a Donation
Finder said they'll donate online (Never happens)
Quantity Admitted (Female)
Quantity Admitted (Male)
Enter as weight in grams plus gender. Example: F 63g, M 54g, F 58g
Notes (How was animal found? How is animal wounded? Why was animal admitted? What was animal fed before admission?)
If raccoon, skunk, fox, or coyote: Date of first vaccine and worming. (Should be the same as the admit date, but isn't always.)
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