Animal intake

This form is intended for individuals that would like to help a stray cat in need of medical care in order for us to offer it a chance. Our team of volunteers will get back to you as quickly as possible. Your request will be evaluated in a timely manner, and we will contact you to let you know if we can take the animal in. If we cannot take the animal in, we will make it our mission to refer you to one or more organizations that could help you.

Is the animal currently at risk of being euthanized or dying? *

Yes

Non

First name

Last name

E-mail

Phone number

Address and city

Medical information

Medical condition (illness and/or injury)

Reason for requesting intake

Treatments provided until now

Information about the animal or litter

Sex *

Female

Male

Litter of kittens

Unknown

Is the animal microchipped? *

Yes

Litter of kittens

Unknown

Behavioural problem(s)

Does it get along with dogs? *

Yes

I don't know

Does it get along with cats? *

Yes

I don't know

Does it get along with children? *

Yes

I don't know

Picture of the animal

Upload file

Upload a supported file (max. 15 MB)

Picture of the animal 2

Upload a file

Importez un fichier pris en charge (max. 15 Mo)

I declare that the information that I supplied is accurate and complete.

I agree that the organization may use the photos to find a foster family.

At the time of surrender, I agree to provide all information and/or medical documents that may assist the organization in making decisions.

Explain the situation

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