Vet Pet Collection Request

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Pet Collection Request

Please complete this form if you would like to request collection of a pet. Once we receive your request a member of the team will call you with confirmation as to when the pet will be collected.

Please select the Vet Practice that you'd like us to collect from.*

Search for and select your vet practice's name below. If your practice is not listed then please call us on 01252 844288.

Please ensure you complete the required fields in order for us to identify the pet.

Thank you, what is the pet's name?*

Please note how you enter the collection details is how they will be entered into our system.

And their surname?*

Please confirm their species.*

Cat

Dog

Rabbit

Guinea Pig

Hamster

Chicken

Budgie

Parrot

Chinchilla

Snake

Ferret

Hedgehog

Lizard

Bearded Dragon

Rat

Degu

Tortoise

Fish

Other

Please select their size.*

Pets Age In Years (Approx)

Do you have their registered Microchip number?*

Yes

We’d really appreciate your help in providing us with the microchip number to help us ensure each pet’s identity when we collect them from you.

Please confirm their registered microchip number.*

Please confirm the reason why.*

Please select their size.*

Please ensure you complete the required fields in order for us to identify the pet.

Are they male or female?*

Male

Female

Please confirm their colour.*

Please confirm their breed.*

Please confirm their weight in kg*

Please ensure you complete the required fields in order for us to identify the pet.

Do they have any items or bedding with them?*

Yes

Please describe the item(s) below e.g. blue collar.*

Do you know what the pet owner would like us to do with the pet's bedding or belongings?*

Include in cremation

Return to the pet owner

Recycle

Dispose

Unsure - Dignity to check with pet owner

Do you know the cause of death?

Is the pet considered to be contagious?*

Yes

Please describe below and include any details about treatment given.

Please ensure you complete the required fields in order for us to identify the pet.

Please confirm the pet owner's full name.*

Please confirm the first line of the pet owner's address.*

And their postcode.*

Pet owner's email address*

If the pet owners do not have an email address, please input the vet practice's email address.

Pet owner's phone number*

Does the pet belong to a staff member?*

Yes

Do you have any additional information you need to tell us?

For example, Client not to be called when pet is collected, contagious disease identified, etc.

What's your name?*

Please confirm your practice's email address.*

We need this to send you a confirmation email.

Does your practice require any consumables/printed materials?

E.g. ID collars, brochures, pet bereavement leaflets and posters.

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Pet Collection Request Form

Pet Collection Request

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