132 E Route 59
Nanuet, NY 10954
845-708-5605
Dog Hill Inc
Client Information Form
Please fill out the information form as completely as possible, then click Submit. We'll be in touch with you shortly to discuss your specific dog care requirements and how we can be of service to you.
Name What Type of Service Are You Interested In?
Email Address What Are Your Desired Dates/Times?
Home Phone Number
Cell Phone Number
Home Address Emergency Contact Information
Veterinarian's Contact Information
Breed, Size, and Color of Your Dog
Dog's Name and Age
Dog's Gender
Valid Tag or License Number
Has Your Dog Been Sprayed or Neutered?
Has Your Dog received complete immunization for DHLPP, Bordatella(Kennel cough), and Rabies?
Is Your Dog House-Broken?
Please Provide Details of Any Current or Recent Health Problems and if Your Dog is Taking Any Medication
Is Your Dog Insured? If Yes, Please Provide Carrier and Policy Number
Is Your Dog Microchipped?
Please Describe Your Dog's Personality, If He or She is Well Trained, Has Ever Shown Agression Towards Other Dogs or People, Or Anything Else You Feel We Should Know
How Did You Hear About Dog Hill? If Other, Please Explain
