Support FormStep 1 of 714%General InformationOwner's Name(Required) First Last Phone(Required)Email(Required) Microchip ID(Required)Your Location(Required) City State / Province / Region ZIP / Postal Code Are you the original owner?(Required) Yes NoSelect the reason(s) for support today(Required) Health Behavior Boarding/Sitting Rehoming OtherBehavior SupportProblem Behaviors Potty Training Barking Chewing Nipping/Biting Excess Energy Anxiety Shyness Running Off Jumping Not ListeningHave you seeked advice from a professional trainer? Yes NoDo you wish to surrender ownership of the pet due to the behavior(s)? Yes No Maybe* We will follow up with a surrender application. Once the surrender form is processed we will arrange further action.Briefly describe how the problem behavior(s) are effecting daily lifePlease tell us how the behaviors are troubling you (or your pet) in everyday life.Has this Pet Been Sterilized? Yes NoIs this pet on pet insurance? Yes NoIs this pet deceased? Yes No Pending EuthaniasiaDescribe the Typical Diet of your Pet Store-Bought Grain-Free Homemade Grain-Free Store-Bought Raw Fed Homemade Raw Fed Store-Bought Grain-Inclusive Homemade Grain-Inclusive Specialty Veterianian Food (Kidney Care, Hydrolyzed protein, etc.) OTHER I’m not sure…OtherDo you wish to surrender ownership of the pet due to the health issue? Yes No Maybe* We will follow up with a surrender application. Once the surrender form is processed we will arrange further action.Health InformationCheck the Ailments Other Allergies Epilepsy Orthopedic Issues (Luxating Patellas, Hip/Elbow Dysplasia) Heart Disease Eye Issues Liver Shunt Kidney Disease Sudden DeathWhat OFA grade is the ailment? Ailment has not been verified by the OFA Grade I Grade II Grade III Grade IIII Grade V Grade IVHealth Warranty Claims are required to be verified by a Veterinarian Specialized in Orthopedic Foundation for Animals (OFA) .Rate how the dog's daily life has been effected by the issue Minor Effects Moderate Effects Severe EffectsDescribe the Issue(s) in detailWhen did the issue first occur? Please explain how the issue has either Minor, Moderately, or Severely affected the dog’s movement and daily life.Veterinarian RecordsVeterinarian Records(Required) Drop files here or Select filesMax. file size: 20 MB, Max. files: 5.Please upload Vet Records related to the health issue. You maybe followed up to provide further documentation of past vet exams, or to have a second opinion at a Vet of the Breeder’s Choice.Proof of Sterilization Drop files here or Select filesMax. file size: 15 MB, Max. files: 5.Please upload Vet Records.Skip I have previously submitted proof of Sterlization.Select what you are seeking day time pet sitting overnight boarding in home overnight sittingWhat Starting Date Do you need Boarding/Sitting MM slash DD slash YYYY End Date MM slash DD slash YYYY ConsentSubmit this information as a health warranty claim. Submit this information as a health warranty claim.I confirm that I have carefully reviewed my Terms of Service and Adoption, understand all the questions and have completed the support form honestly. The Doodle.Me CO-OP Breeder has my permission to contact all Veterinarian’s listed in this form. I understand that omission of information, misinformation and/or failure to answer all questions, or respond to follow ups about providing more information, documentation, and potentially a follow up vet exam, can result in the support communication being closed.Consent I understand I am not entitled to a refund, reimbursement, or replacement puppy unless the health issue is covered in the Terms of Adoption. Any disputes arising are between myself and the breeder, and all disputes are required to go to arbitration if a controversy arises.
