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Profile for releasing shelters
Organization:
Are you__ Private___ Municipal___ Non-Profit (check all that apply)
Address:
City: State: Zip:
Phone:
Email:
Fax:
Contact person:
Home Phone:
Cell phone:
Home email:
Is your facility Open admission (performs euthanasia) Limited admission (no-kill)
If your facility performs euthanasia, is it by__ lethal injection__ gas___ other If other please explain: _______________________________
Does your organization hold any contracts for animal control? __Yes__ No
How many animals do you take in per month? (avg)
What percentage of animals are successfully adopted?
What percentage of animals are euthanized?
Of the total number of animals euthanized, what percentage are adoptable?
What is the approximate ratio of animals to people working with them?
What are your quarantine procedures?
Do you take in and treat animals with contagious diseases? If yes, please describe which ones and how?
Are there any diseases that are grounds for automatic euthanasia? Please list
Please list the types of medical care you routinely provide for the animals in your care (vaccines, worming, spay/neuter, heartworm preventative)
Do you have a vet on site?__ Yes__ No
if yes Name: ___________________________ Phone: __________________
Do you have a vet that routinely visits your facility?__ Yes__ No
If yes Name: ___________________________ Phone: __________________
Do you transport animals to a vet?__ Yes__ No
Do you have an adoption application?__ Yes (please attach copy)__ No
Do you have an adoption contract?__ yes (please attach copy)__ No
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