Medical Emergency Form

We’re so excited to have your dog join our Opportunity Barks family <3

Hello to our app users!

Please fill out the form below, hit the “Submit” button, and then return to the app to finish the appointment process.

If you have any questions or need clarification of any kind, please either message us through the app, email info@opportunitybarks.com or give us a call at 541-726-8435, and we’ll be happy to help with whatever you need!

Thank You!!!

Owner's Name

First Name

Last Name

Dog's Name

First Name

Last Name

Best Number To Reach You

(###)

###

####

Emergency Contact Name and Number

Does the above contact have permission to make decisions on your behalf?

Yes

Alternate Emergency Contact Name and Number

Does the above contact have permission to make decisions on yoir behalf?

Yes

Special Instructions For Vet (if any)

Allergies To Food or Medication (if any)

Current Medications (if any)

Is there anything about your pet's medical history you feel the vet should know?

In the event of cardiac arrest, would you like them to attempt resuscitation, even if the heart has stopped?

Do you have any financial considerations? If you can't be reached, is there an amount that you do not wish them to exceed?

Medical Emergency Form

We’re so excited to have your dog join our Opportunity Barks family <3

Thank You!!!

Online booking is now available for both daycare and boarding reservations!

Registration

Pick-Up and Drop-Off

Location and Directions

CONTACT US

OPPORTUNITY BARKS © 2025.
All Rights Reserved.

Medical Emergency Form

We’re so excited to have your dog join our Opportunity Barks family <3

Thank You!!!

Online booking is now available for both daycare and boarding reservations!

Registration

Pick-Up and Drop-Off

Location and Directions

CONTACT US

OPPORTUNITY BARKS © 2025.All Rights Reserved.

OPPORTUNITY BARKS © 2025.
All Rights Reserved.