IVDD Caregiver Handover Sheet

Complete this with the instructions your veterinary team has given you. Print it or use Print / Save as PDF above before leaving your dog with a sitter, family member or caregiver.

Dog’s name:Owner:Owner phone:Backup contact:

Veterinary contacts

Regular vet + phone:Neurologist / referral hospital + phone:Out-of-hours emergency hospital + phone:

Current movement rules

☐ Strict confinement prescribed☐ Lead-only toilet breaks☐ No stairs☐ No furniture☐ No jumping☐ No play with other dogs☐ Support sling/harness required☐ Other restriction below
Exact movement instructions:

How to lift / support my dog

Equipment used:Technique demonstrated by:Important handling notes:

Medication

Medicine / dose / time / special instructions:

Food, water & toileting

Food and feeding times:Toilet schedule:Bladder / bowel assistance instructions if prescribed:Bedding / incontinence care:

Call me immediately if…

☐ New or worsening weakness☐ Cannot stand / walk☐ Severe or uncontrolled pain☐ Cannot urinate☐ Fall, jump or escape from recovery area☐ Vomiting / medication concern☐ Change specified by my vet☐ Other concern below
My dog’s individual warning signs:

Emergency plan

If I cannot be reached, I authorise the caregiver to:Preferred transport method / equipment:Insurance / payment information location (do not write sensitive card data here):

Things the caregiver must NOT do

Handover acknowledgement

I have discussed the care plan above with the owner and will contact them or the veterinary team if I am unsure about a task or if the dog’s condition changes.

Caregiver name:Signature / date:

Aubenord educational resource. This sheet does not create a veterinary treatment plan and should be completed using instructions provided for your individual dog.