Retired Dog Form Name * First Name Last Name Dog's Name * First Name Last Name Date Retired * MM DD YYYY Reason for Retirement * Is your dog on health insurance? If so, please list company. * Does your dog have any ongoing health problems? * Does your dog require medication due to a health condition? If so what meds/frequency. * What flea/heartworm preventative medicine does your dog use? What is your dog’s feeding schedule? When do they eat and how much food? Where does your dog sleep at night? What are your dog’s house manners like (e.g. Counter surfer, reactive to doorbell): How does your dog behave in public? (e.g. Pulls toward smells, needs extra support with loud noises) Does your dog require assistance when entering or exiting vehicle? How much exercise does your dog require? What is your dog’s toileting routine? How does your dog behave around children, dogs, and other animals? Favorite toys/treats: Is there other information you would like to share? * Thank you!