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Dog History Form (Intake)

This form is for clients who wish to return an animal adopted from the SF SPCA

"*" indicates required fields

Guardian Name*
Address*
How long have you had your dog?*
Dog's Sex*
Is your dog spayed/neutered?*
Why are you giving up your dog?*
How did you obtain this dog?*
How was your dog raised?*

Where is the dog kept at the home?

When you are at home?*
When you are away from home?*
Please enter a number from 1 to 24.
When the dog is inside he/she is:*
When outside, how is the dog confined?*
When alone, how does he/she behave?*
When alone, has the arrangement above been successful?*
Where does the dog sleep?*

Housetraining Information

Is this dog housetrained?*
Does this dog have accidents?*
What kind of accidents?*
When does this dog have accidents?*
Where does this dog go to the bathroom?*
Is your dog crate-trained?
What type of crate?*
Does the dog have accidents in the crate?*

Feeding Information

What type of food does this dog eat?*
How often / how much does this dog eat?*

Training Information

Which commands are this dog familiar with?*
Please check all that apply:
Leash walking behavior:*
What training equipment is this dog used to?
Has this dog had obedience training?*
How do you discipline the dog?*

Exercise Information

Does this dog get exercise/play time with you?*
How often?*
How long does your dog exercise?*

Where does your dog get its exercise?*
Does your dog play with other dogs?*
Does your dog play with a resident dog and/or other dogs at dog parks?*
Does your dog like playing with dogs outside of the home?

Behavior Information

Does your dog have any behavior issues that a new adopter should be aware of?*
Is your dog scared of:*
When walking on leash, does your dog bark at:*
Does your dog bite or growl when you touch his food, treats, or toys?*
How would you characterize this dog overall?*
Please check all that apply:

Veterinarian Information

Date of last visit:
Current on vaccinations?
In the last 30 days has your dog had:*
In the last 30 days has your dog been to a boarding facility or doggy day care:*
Please add any additional information that you feel would be helpful for us, or a new owner. This will help us make the best possible match with a new home.

Upload Files

Drop files here or
Max. file size: 50 MB.
    Please upload any digital copies of medical records below. If you are unable to upload directly, please bring any physical copies to your surrender appointment.

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    San Francisco Society for the Prevention of Cruelty to Animals is a 501 (c)(3) non profit organization. EIN: 94-0836580

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