Intake Request Form

To help us better understand each situation, please answer all questions as thoroughly as possible. Intake requests are reviewed based on urgency and available resources. Due to the ongoing animal welfare crisis, there is currently a waitlist. We appreciate your patience and understanding as we work to assist as many animals as possible.

First Name *
Last Name *
Phone Number *
Email Address * Must be in email format
Confirm email
Please check your preferred method of contact: *
Physical Address *
City *
State *
Zip Code *
Intake Type *
Where did you find the dog(s) *
When did you find the dog(s)? *
Where did you first get the dog(s) from? *
When did you first get the dog(s)? *
Reason for surrendering *
Name of organization *
Where did your organization first get the dog(s) from? *
When did you first get the dog(s)? *
Tell us what animal you'd like us to take: *
Would you like to be considered for Mutternity Leave? Dogs that find themselves pregnant – that already have a good home – are eligible for “Mutternity Leave.” Essentially, ATR takes the mama dog and her pups in until the pups are old enough to wean. Then, mama and pups are fixed, vaccinated, and chipped. While the pups are adopted into loving homes, mama is returned to the loving home already waiting for her.
Learn more about Mutternity Leave
Please choose the symptoms mama is experiencing: *
Please choose all symptoms puppy(s) are experiencing: *
Please describe the medical status of the puppy(s) to the best of your ability. (When did the symptoms you selected start? What else have you noticed?) *
Please describe the medical status of mama dog to the best of your ability. (When did the symptoms you selected start? What else have you noticed?)* *
Mama dog's name (if known) * If you are unsure of their name, please input N/A
Mama dog's estimated weight *
Mama dog's breed *
Fur Color *
Mama dog's estimated age (Please choose 0 is you are unsure) *
Which vaccines has mama dog had? *
Mama dog: Please describe her background to the best of your ability. (ie stray, limited socialization, owner surrender due to x) *
Mama dog: Please describe her behavior and temperament to the best of your ability. *
Mama dog: Please describe her behavior toward: Other Dogs *
Mama dog: Please describe her behavior toward: Strangers (people she doesn't know) *
Mama dog: Please describe her behavior toward: Children *
Mama dog: Please describe her behavior toward: Cats *
Mama dog: To your knowledge, has she ever bitten or snapped at a person? If so, please describe the incident(s) in detail. *
Do you have information on the father of the puppies? *
Father dog's estimated weight *
Father dog's breed *
Father dog: Please describe his background to the best of your ability. (ie stray, limited socialization, owner surrender due to x) *
Father dog: Please describe his behavior and temperament to the best of your ability. *
Father dog: Please describe his behavior toward: Other Dogs *
Father dog: Please describe his behavior toward: Strangers (people he doesn't know) *
Father dog: Please describe his behavior toward: Children *
Father dog: Please describe his behavior toward: Cats *
Father dog: To your knowledge, has he ever bitten or snapped at a person? If so, please describe the incident(s) in detail. *
Do you have information on the mother of the puppies? *
Do you have information on the father of the puppies? *
Father dog's estimated weight *
Father dog's breed *
Puppies Only *
Number of Puppies *
Do you know the birth date of the puppies? *
Please input the puppies date of birth. *
What do you estimate their age to be?
Puppies Breed (if known) *
If you have further information about adult dogs or the puppies that may be helpful to us, please include it here. *
Please upload 1 to 3 pictures *
Please upload 1 to 3 pictures
Please upload 1 to 3 pictures
If you have any additional images or videos, please email them to intake@almostthererescue.org
Vet Records

Intake Request Form

We specialize in saving the lives of pregnant and nursing dogs and young puppies. We only intake dogs that fall under the above description. If you have found a dog or are looking to surrender a dog that doesn’t fit this description, please refer to our resources guide.