Paws With Heart

 

  

 

 


 

 

Emergency Information sheet



EMERGENCY INFORMATION SHEET
(Everyone who travels with their pets should carry one of these sheets in the glove compartment of the vehicle, one in their wallet or purse and one attached to one of the crates that has been laminated and is visible to anyone who would have to go into your car/van incase you were in a wreck or other emergency)

ATTENTION - INCASE OF EMERGENCY!!!!!

Owners Name: ________________________________________________ Address:_____________________________________________________ Phone:_______________________________________________________
Pet's Name:_________________________________________________ Breed: __________________________Sex: ___________________
Date of Birth:________________ Medical Information: (This animal is current on all shots - it is of no threat to anyone he/she might come into contact with) the attending veterinarian is:
Name:____________________________ Phone #___________________.
(If dog is not wearing a collar when in their crates, this animal's leash is located: ____________________________ and you will be in no danger should you open the crate and attach the lead.)
This pet has the following medical conditions that must be treated: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________

This pet's regular veterinarian is:
Name:________________________________________
Address: ____________________________________________________
Phone: _________________________________
What you should know about this individual animal: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________

SHOULD I BE UNABLE TO ATTEND TO MY ANIMAL DUE TO INJURY OR DEATH:

Contact: Name:_________________________________
Address: _____________________________________________________________ Phone: ________________________________
Animal should be boarded in the nearest animal boarding facility or veterinarian. PLEASE do not take my pet to an Animal Shelter or Humane Society. The above person has agreed to pay all fees to retrieve said animal and they have my permission to remove said animal from the boarding facility. Said person also agrees to pay any medical bills for said animal. Should my first emergency contact be unavailable please contact:

Name: _________________________________________________
Address: ____________________________________________________________ Phone: __________________________________
Said individual has also agreed to the above. Should one of my animals be on the loose following a car/van accident - please contact the above individual who will assist in the search should I be unable to participate. Your cooperation in this matter is greatly appreciated. This animal is a member of my family and it is my wish that it receive the best care possible.

Signature:_________________________________________________

Date: _____________________________