DOG INTAKE FORM


IF MORE THAN ONE ANIMAL NEEDING REHOMED,
PLEASE FILL OUT A FORM FOR EACH ANIMAL

After submitting the form, please email us a photo of the animal
at hsuvdogs@hsuv.org


Please give an address
Please list vet clinic's name and phone number
(excessive barking, destructive, shy, separation anxiety, escape artist, etc…)
Sick, pregnant, injured, nursing, etc.