Pet Adoption Form

We’re so excited for you to take home one of our wonderful pets! To adopt your new best friend, please complete our online pet adoption form.

Get Started

Adopt one of our awesome pets!

Which pet are you applying to adopt? *

Name *

First

Last

Phone Number *

Email *

Occupation/Employer *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

How many people currently reside in your household? *

How many children? *

Do any members of your family have any allergies to animals? *

medical be to

Where do you live? *

Where will the pet be kept? *

If you move, what will you do with the pet? *

If you currently have any pets, describe those that you care for or are living in your household.

Name

Breed

Age

Spayed/Neutered?

Kept where?

Time in your care?

Please provide the name of your veterinarian or where you plan to take this pet: *

Are you financially able and willing to provide annual check-ups, vaccinations, heartworm/flea/tick prevention, and any medical care necessary? *

Do you agree to return the dog to Pamlico Animal Hospital in the event you are unable to keep the dog? *

By applying my electronic signature to this form, I/we acknowledge that all information on this form is true and correct. If my/our request for adoption is approved and later Pamlico Animal Hospital discovers the above information is not true, Pamlico Animal Hospital reserves the right to remove the adopted pet from my household and refuse any future adoption applications.

Applicant's electronic signature *

Clear Signature

Date *

Pet Adoption Form

Adopt one of our awesome pets!

If you currently have any pets, describe those that you care for or are living in your household.

Ready for a Visit?

Location

Contact Information

Office Hours

Urgent Care Hours

We’re here to help!