In Case Of An Accident

 

In the event that I am incapacitated and unable to make my wishes known regarding my dog(s), please honor the following requests:

The welfare of my dog(s) is my primary consideration.
Contact as soon as possible:
Day phone number :  _______________________________

Night phone number: ______________________________

 If they cannot be reached, please contact:
 Day phone number: ______________________________

 Night phone number: ____________________________
 
	All expenses for the dog(s) will be guaranteed by them.

If the dog(s) are not injured, they are to be cared for by the nearest reputable boarding kennel, and be kept in the best possible manner until arrangements can be made to get them home.

If the dog(s) are injured, they are to be cared for by the nearest reputable veterinarian. I prefer that my Veterinarian be contacted regarding decisions on the dog(s) care and treatment. They have all of my dog(s) medical records available.

 

Contact my Veterinarian:

Day phone number:________________________________


Night phone number: ______________________________

 

If any dog is injured beyond all hope of recovery, that dog is to be humanely euthanized.

 

Photographs and descriptions of the dog(s) are attached as are their health and vaccination records. For identification purposes these dogs are either tattooed with an identifying number or have had a microchip ID implant.

I want to emphasize that the welfare of my dog(s) is my primary consideration.

 

Signature:


Date:___________________________________________________________

Name:___________________________________________________________

Address: _________________________________________________________

City, State, Zip: ____________________________________________________

Home Phone: _______________________________________________________

Work Phone:_______________________________________________________

Spouse/Significant Other: _____________________________________________

Parents: __________________________________________________________

 

 

 

 

 

Back to the top

 

Back to Canine Epilepsy Resource Page

Back Home