NOTE: By filling out this form you are NOT signing ownership of your dog to ABCBHR, Inc. You will need to sign ownership over to ABCBHR, Inc. when a volunteer picks up the dog.

  • Please provide the following information about your veterinarian:

  • Accepted file types: jpg, jpeg, png, Max. file size: 256 MB.
  • All of the information that is included in this form is to the best of my knowledge, true and complete. I understand that falsifying information on this form, or at any other time during the relinquishment process may disqualify my Basset from acceptance into ABCBHR, Inc. I am aware that submitting this form does not guarantee that my Basset will be accepted into ABCBHR, Inc. I also understand that by submitting this form, I give ABCBHR, Inc permission to access my veterinary records.