Vet Form

Please fill in the form below to submit your carer request to our Rescue Office. You can also call the Rescue Team on (02) 8977 3309 if you prefer.

Vet Practice

Name of Practice *

First Name (of person filling in form) *

Last Name *

Vet Email Address *

Vet Address *

City *

State *

Postcode *

Vet Contact Number *

Transport (please let us know if you might be able to assist with transport to the nearest allocated carer) *

Yes

No

Rescue Details

Location where the animal was found: please provide as much detail as possible *

Animal brought in by

Full Name

Street Address: Number, Street, Suburb

Phone Contact Home

Text Field

Any Additional Information

Animal Details

WIRES Callsheet Number if applicable

Animal Species *

Age of Animal *

UnknownNesting2FledglingBaby or JuvenileSub AdultAdult

Weight of animal

Details of injuries, medications or treatments administered and care requirements *

Submit

Liquid syntax error (modules/_admin/generic_fakeform:1): unexpected '{{' - to use a variable, reference it directly, e.g. 'key: myvar' instead of 'key: {{ myvar }}'