Small animal Surrender Form

Recent photo of your animal (optional)

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History

Why are you surrendering your small animal to NHS?

How long have you owned this animal?

Where did you acquire this animal?

Has your animal ever bitten anyone before? If yes, under what circumstances and when?

Medical

What veterinary clinic does your animal visit?

Has this animal ever been diagnosed with a medical concern?

Is this animal on any medication at this time?

Is this animal on any supplements at this time?

Dietary Habits

What brand of food are you currently feeding your small animal?

Is your small animal offered fruits and vegetables? If yes, how often?

Types of fruit and vegetables offered

Is your animal offered hay? If yes, how often? Type

Litter Box Habits

Lifestyle / Personality

How often do you brush your animal?

How often do you trim your animal's nails?

What was the size of your animal's cage or enclosure?

How often was your animal provided time out of its cage?

Where was your animal housed (indoor or outdoor)?

What are your animal's favourite toys?

Does your animal thump its feet or growl when someone or other animals come near its cage?

Interactions

If this animal has lived with another animal of its kind, how did they interact?

If this animal has lived with cats, how did they interact?

If this animal has lived with dogs, how did they interact?

Has the animal lived with children? If yes, what ages?

How would you describe your animal's personality most of the time?

Please tell us some things you truly love about this animal!

Are there any quirks or habits you are not fond of in your small animal? This question helps provide shelter staff with valuable insight into your pet and can help us ensure your pet has a successful adoption. Many quirks or habits are common behaviours natural to a particular species and/or have simple solutions to resolve which we can share with a future adoptive family

Is there anything else that you would like us to know about your cat?

Release of Medical Information and Veterinary Records

Your full name (typed as your signature)

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Before a Surrender Can Be Considered

Tell Us About Your Small Animal

Owner Information

General Information