Cat Intake Form

This form is to notify the appropriate people about a new cat intake or transfer at Pet Haven. If any updates need to be made to this form, please reach out to engage@pethavenmn.org.

Intake Coordinator Information

Intake Coordinator Name(Required)

Intake Coordinator Email(Required)

Email of person submitting this form

If you are submitting the intake form but you are not the intake coordinator, please enter your email here so that you get a copy of the submission via email to add to Sparkie.

Foster Information

Foster Name(Required)

Foster Email(Required)

Foster Mentor(Required)

Cat Information

Cat Name(Required)

ASM ID Number(Required)

Date of intake or transfer(Required)

Does our kitten care coordinator need to be notified of this intake?(Required)

Please choose yes if the cat is 14 weeks old or younger, is a pregnant/nursing mom, or other situations that our kitten care manager has already been involved in.

Yes

Adoption Fee(Required)

Based on the age we know for the cat, please select the appropriate adoption fee. If unknown or a complex situation, you may select unknown.

Where did this cat come from?(Required)

Reason for Return

Reason for transfer(Required)

"Other" transfer source - please explain(Required)

You selected "other" for where this cat came from. Please describe the cat's situation here.

The following were dispensed to the foster at intake:(Required)

Pyrantel dewormer (three doses to be given two weeks apart)

Panacur dewormer (seven doses to be given once a day for seven consecutive days)

None

Selemectin (One Dose At Intake)

Microchip

Urgent Vetting/Behavioral Support Needed(Required)

If we think that the cat or foster may need vetting or behavioral support immediately after intake, please indicate that here.

No, not needed

Yes, urgent vetting or behavior support may be needed

Please describe what we know about the urgent support that may be needed.(Required)

Additional Notes, if applicable

Original Fosters Needed Facebook Post

If applicable, please paste the original post from the Fosters Needed Facebook page here. If you do not have it and the cat was posted on Facebook, please ask the original poster for the initial information and include it in a Sparkie comment on the cat's profile.