Alaska SPCA General History Form

This form should only be filled out if you already have an appointment scheduled.

If you need to make an appointment, please call us at 907-562-2999.

 

Thank you for your understanding while we adapt to current recommendations in regards to limiting the spread of COVID-19. While we understand this process may not be ideal for everyone, we are taking the necessary precautions to be able to continue to treat our patients for as long as possible.

 

Please complete this form to the best of your ability to help ensure accurate and efficient examination and treatment of your pet. When you arrive at the clinic at your scheduled time, we ask that you call and let us know you are here. Please have your pet on a secure collar/harness and leash or in a secure pet carrier before we come out to your car to collect your pet.

Alaska SPCA Pet History Form
Owner Information
This is for the human, not the pet.
We must be able to talk to you before any treatments are provided. Please enter the best number to reach you.
Because we will be needing to communicate with you by phone, an additional phone number is needed in case we cannot reach your primary number
Pet Information
Species (dog/cat/rabbit)
Sex
Please tell us which vaccinations are current for your pet:
Dogs (check N/A if pet is a cat or rabbit)
Cats (check N/A if pet is a dog or rabbit)
Is your pet spayed/neutered?
Has your pet been seen by another veterinarian for the same issue that brings you here today?

Thanks for submitting!