Wildlife Patient Intake Form

Pelican Harbor Seabird Station is a non-profit native wildlife rehabilitation Center.

By filling this sheet, you acknowledge the surrendering of any wildlife you may have in your possession to receive care and treatment from our wildlife rehab staff.

Thank you for caring about wildlife and for helping us help them.

WE COULDN’T DO IT WITHOUT YOU!


Name *
Name
Home Address
Home Address
Phone Number
Phone Number
Date Animal was Found
Date Animal was Found
Location Animal was Found
Location Animal was Found