Ambulance Release Please enable JavaScript in your browser to complete this form.Your Name *Rescue Code *Pet Tag Number *Tag Number of the pet from Rescue RecordDate of Pet admission *Release Date & Time *Release TypeAmbulance ReleaseMap Coordinates *Google Map URLTreatment Record (Diagnostic, Medical history, Blood reports etc.) * Click or drag files to this area to upload. You can upload up to 100 files. Removed Pet Tag Number *YesNoIf no, why? *Please explain as why the pet tag was not removed before the pet was put inside the ambulanceTreatment Records handover to the owner? *YesNoTreatment record such as Diagnostic records, Medical history, Blood reports etc.If no, why? *Owner physically not present at time of releaseOwner denied to collect the treatment recordOthers, please mention belowNAOthers? Please explainRelease Video * Click or drag files to this area to upload. You can upload up to 100 files. Kindly upload 360° of pet’s release video including the pet and the street. Minimum 30 seconds video should be uploadedRelease Record Photo * Click or drag files to this area to upload. You can upload up to 100 files. Kindly upload the photo from the release record detailsAny Comments?Submit
