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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

Was your dog adopted from the SF SPCA?*
Additional Resources

Where to go from here...

The San Francisco SPCA only accepts surrenders of animals previously adopted from our shelter. Please reach out to your local municipal shelter for next steps on surrendering your pet. Please click the link to find your resident county's municipal shelter. Thank you!

Additional Resources

Client Information

Guardian Name*

Dog Identification

What factor(s) lead you to decide to return your dog?*

Behavior Section

Does your dog have any unwanted behaviors that a new adopter should know about?*
Have you looked into resources to try to work on these behaviors?*
Is there anything that makes your dog nervous or causes them to behave in a different manner than normal?*
What do they do when present with these stimuli?*
Has your dog ever bitten a person and broken skin?*

Medical Section

Has your dog been to a veterinary hospital or clinic?*
Is your dog current on vaccinations?*
In the last 30 days, has your dog been to a boarding facility or day care?*
In the last 30 days, has your dog had any of the following symptoms?*
Is your dog on a special diet? (eg Bland, hypo-allergenic, prescribed foods)*
Is your pet covered by pet insurance?*
Max. file size: 50 MB.

Lifestyle

Where does your dog spend their time at home?*
What does your dog do when alone?*
Is your dog ever crated?*
What does your dog do when crated?*
Is your dog housetrained?*
Has your dog had any accidents?*
How does your dog get exercise?*
Hours per day
Has your dog met other dogs?*
How did you meet the other dog(s)?*
What did your dog do in response to meeting the other dogs?*
How does your dog walk on leash?*
What stimuli does your dog pull towards?*
What equipment does your dog wear when taken out?*
What do they do in response to being touched there?*

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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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