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First Name *
Last Name *
By providing this informaiton you are allowing IHDI to contact your landlord; please inform them of this call so they will speak with us.
Describe your household.
Are these pets up to date on their vaccinations?
Do you agree to provide regular health care by a licensed veterinarian?
Do you have a regular veterinarian?
By providing IHDI with this information you are allowing IHDI to call your vet. Please call your vet and ask them to authorize release of information.
Do you agree to keep the dog as an indoor dog?
Do you agree to contact IHDI if you can no longer keep this dog?
Are you willing to let a representative of IHDI visit your home by appointment?
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