Wildlife Admissions Form

While the asterisk items are the only ones required if you’re in a hurry, the more information you can provide the better able we’ll be able to help. The initial steps we take are informed by the data you provide and can be life-saving.

First Name*

Last Name*

Address (Street/City/State/Zip)*

Contact Phone #*

Contact Email

Animal Species

Number of animals in need of help*

Did YOU find the animal? If No, who did?

Location where the animal was found?

Date/Time first saw the animal(s)?

Date/Time when captured?

How did you come across animal(s) in need of help?

Other details about animal(s) condition:

If a baby, was it with the mother? What was her condition? Was the baby nursing on her?

If a baby, please select the description that most closely resembles the rescued animal(s).

“Pinkie” (pink only, no grey or dark fur)

“Painted on” fur (eyes closed)

“Painted on” fur (eyes open, or eye slits opening)

Fur with eyes open

Fully furred with round (bulging) eyes

See "START HERE" page for photos

Has the animal bitten or scratched anyone?

Yes

If yes, who?

Did you offer food or fluids? If yes, what was offered? Did it eat or drink, and what did it consume?

How long ago did it last consume fluids (or food)?

Was there any other care given? Please describe what was done?

example: cleaned/treated wounds, used medications, etc

Has it urinated or defecated? Can you describe color and/or consistency?

example: clear or yellow urine, solid or wet stools, black tarry stools or yellow stools or another color

Do you want to be contacted in the future about the animal’s welfare and potential release?

I would rather not be contacted

I would rather contact the rehab in the future for any updates (AKA “don’t call me, I’ll call you”)

Yes, contact me only if the animal makes it and will be released

Yes, contact me regardless of the outcome. I acknowledge that not all rescues will survive to be released depending on their individual circumstances.

Notes: (1) Please understand that some animals may not recover from the traumatic event that precipitated the need for human assistance even if they seem fine at the time of rescue (e.g. internal bleeding). For example, if the mother was fatally injured in a car accident, some babies may have been injured as well and the injuries are not always immediately apparent. So please think carefully about your selection above. (2) Some animals may be returned to the place they were found (or nearby) to be released; some places or situations are not suitable so alternate locations may be necessary. If you think you have a suitable release location please let us know.

Additional Comments:

I understand that wildlife admitted to this wildlife rehabilitation facility become the sole responsibility of this facility, which is permitted by the state of Tennessee (TWRA) to provide care for wild animals with the intention to release them back into the wild in TN.*

I acknowledge the above statement