Pet Trust for Life - Nationwide Pet Trust Services

Contact

How we can reach you

Full Name*Email*Phone*Preferred contact*

Location & Timing

Where you are and when you’d like to start

City*State*Desired start date*How did you hear about us?

Service & Dogs

What you’re interested in and basic dog info

Service type*Number of dogs*Dog breeds (comma-separated)Dog ages (comma-separated)Dog weights in lb (comma-separated)

Health & Care

Details that impact matching, budgeting, and care planning

Medical history (diagnoses, surgeries, chronic issues)Most recent vet checkup (date)Current medications (name, dose, schedule)Vaccination status (dates if known)Dietary restrictions / food preferencesKnown allergies (food, meds, environment)Mobility/comfort considerations (stairs, vision/hearing)

Behavior & Notes

Temperament and household fit

Behavior notes (temperament, triggers, with-children/pets, bite history)Estimated monthly budget ($)Estimated one-time budget ($)Notes (anything else we should know?)

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