Medical Acknowledgement Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Date / TimeDateTimeDog Name *On the day of adoption/transfer of above named animal, was showing no clinical signs of URI, Kennel Cough, or digestive problems. If your pet starts to show any signs of above, please give us a call 719-357-6913. 719-357-6913. URI, a Signature Clear Signature Date / TimeDateTimeWRS Rep Signature Clear Signature Date / TimeDateTimeSubmit
