Veterinary Reference

Please complete this form about the client that we contacted you about. Please be honest in your assessment so that we can find the best match for the applicant.

Your responses are confidential and will not be shared with the applicant.

Client Name

First Name

Last Name

Veterinary Clinic Name

Veterinarian Name:

Does the applicant keep their pets up-to-date on the appropriate vaccinations?

If no, please let us know why.

Does the applicant spay/neuter their pets?

If not, please let us know why.

Does the applicant keep their pets up to date on preventatives (heartworm, flea/tick)?

If no, please let us know why.

Would you leave your pets in the applicant's care?

Yes

Unsure

If no or unsure, why?