Shih Tzu Palace Puppies

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Contact Information

Your Name
_________________________________________

Your Address
_______________________________________

Phone #
____________ Cell # _____________________

Traveling contact information (hotel/friend)
__________________________________________________________________

Emergency Vet #
___________________________________

Vet Name
_________________________________________

Vet Phone #
_______________________________________

Vet Address
_______________________________________

Vet Directions
______________________________________

Your Contact Information
____________________________

Other Emergency Information
_________________________

Other Emergency Contact (local or friend or relative you trust)

____________________________________________

Other Comments
________________________________________________


INSTRUCTIONS FOR DOGS

Name
_____________________________________________

Nickname
__________________________________________

Description
_________________________________________
Eats (Type of food)
___________________________________

Amount
____________________________________________

Frequency
__________________________________________

Food is kept
_______________________________________

Treats (type, amount and frequency)
_______________________________________________________________________

Likes to play
________________________________________

Likes/or dislikes other dogs
_____________________________

Likes/or dislikes cats
__________________________________

Likes to go out
______ times per day

Favorite toy
_________________________________________

Favorite place to walk
_________________________________

Leash is kept
________________________________________

Identification (tag or microchip number)
___________________

Medications needed
___________________________________

Drug#1:
_____________________________________________

Dose:
_____________

Frequency: every
__ hours typically _ am ___pm

Drug#2:
_____________________________________________

Dose:
_____________

Frequency: every
__ hours typically _ am ___pm

Drug#3:
_____________________________________________

Dose:
_____________
Frequency: every
__ hours typically _ am ___pm

Special Instructions
___________________________________

Important medical history
_____________________________________________________________________________

( Fill out an additional form for each pet)

Our Little Angel
angelmogwai.jpg
2001-2005

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