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Dr. Trevor Lee Chapman 6825 Park dale Place Suite C Indianapolis, IN 46254 P 317.536.2892 F 317.536.4764ANIMAL CHIROPRACTIC NEW PATIENT INTAKE FORMS CLIENT (YOUR) NAME: ___DATE:___ ADDRESS:___ CITY,
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How to fill out animal intake

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Gather all necessary information such as the animal's name, species, breed, age, and any medical history.
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Complete the intake form with accurate and detailed information about the animal.
03
Provide any additional notes or observations about the animal's behavior or health.
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Sign and date the intake form to certify its accuracy.

Who needs animal intake?

01
Animal shelters, rescue organizations, veterinary clinics, and other animal care facilities typically require animal intake to properly document and assess the animals in their care.
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Animal intake refers to the process of accepting animals into a facility or organization, typically a shelter or rescue.
Individuals or organizations responsible for accepting animals into their care are required to file animal intake records.
Animal intake forms can be filled out manually or electronically, and typically require information such as the animal's name, age, breed, and reason for intake.
The purpose of animal intake is to keep track of animals entering a facility, provide necessary care, and facilitate adoption or transfer to other organizations.
Information such as the animal's condition, any medical treatments needed, behavior assessments, and owner surrender information must be reported on animal intake forms.
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