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  • Adopt a Dog Survey

    Adopt-a-Dog Survey


    Please Check All Answers

    *    *  
    Alternate Contact
    *    *  


    1.  I currently own;          
    Male  Female
    2.  My dog needs to be good with children: * Yes  No
         If yes, which of the following:    
    3.  My dog will be:* Inside  Outside  Both
    4.  When I am not home, my dog will spend time:    
    5.  I would like my dog to be like:*
         A marathon runner  A brisk walker, 1-2 times a week  A couch potato
    6. I am willing to consider a special needs dog and am capable of providing adequate care for:
          Medical needs   Behavioral care
    How did you hear about this pet?*

    Disclosure and Signature

    Many Shelter dogs can experience some sort of mild respiratory disease with symptoms such as: mild, clear nasal discharge; mild coughing; and some decrease in activity. More severe respiratory symptoms include decrease in activity, lack of appetite, yellow and green eye or nose discharge, bloody nasal discharge or cough that produces blood, severe cough, and increased respiratory rate (panting) while at rest. If your dog begins to show signs of severe respiratory illness, you should call our Pet Support Center and/or take the dog to your veterinarian immediately.

    Please refrain from taking your new dog to any dog parks, boarding facilities, or doggie daycare facilities for the next two weeks. We continue to recommend and emphasize the importance of keeping your newly adopted dog separate from residence dogs for the first week.

    We have recently seen an increase in the pneumonia cases developing in dogs isolated and treated for upper respiratory disease. Though pneumonia is still treatable, it requires swift diagnosis and aggressive medical treatment. If you have any additional questions, please call our Pet support Center at (520) 724-7222

    Thank you,
    Dr. Jennifer Wilcox
    Director of Veterinary Services

    By electronic submission of this program survey, I hereby certify that I have read and understood the disclosure above and all of the information I have provided is true and correct.
    Signature: *


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    Animal Care Center

    4000 N. Silverbell Rd.
    Tucson, AZ 85745
    Phone: (520) 724-5900
    Fax: (520) 724-5960


    Monday to Friday
    noon to 7 p.m.*

    Saturday & Sunday
    10 a.m. to 5 p.m.*

    *Must be checked in to wait list 45 minutes before close to be seen in adoption and admission department.

    Ajo Substation

    1249 N Well Rd
    Ajo, AZ 85321
    Phone: (520) 387-7502


    11 a.m. - 1 p.m.
    Wednesday: 11 a.m. - 1 p.m.
    Wednesday: 4:30pm-6:30pm
    Friday:  11 a.m. - 1 p.m.

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