Wildlife Intake Form

Intake Form

STOP

This is not a request form

If you do not have an agreement (and a drop-off address) from an A.E.R.O. rehabilitator to accept your animal, do not fill out this form!!

**PLEASE READ** A.E.R.O. is dedicated to rescuing sick, injured, and orphaned wildlife. If you find an animal in need, please wear gloves and follow the instructions given by a rehabber to safely contain it. Keep the animal away from pets and children, and ensure it remains warm, dark, and quiet. While not every animal will survive, we are committed to providing medical care, stabilization, and the best possible chance for rehabilitation. For updates, please contact our intake line—our rehabbers are extremely busy, but we do our best to respond as quickly as possible. It is crucial to provide the exact location where the animal was found, as this ensures it can be returned to its natural habitat when ready for release. Thank you for helping us protect our native wildlife!

Drop-off Date

Brought-in By

Phone Number

Do you want to be added to our mailing list?

Yes

If you’d like to be tagged in our social media posts please leave your social media tags here. (Although we do try to give updates as much as possible there is no guarantee that your animal will be on there).

Finder’s Address

Address Line 1

Address Line 2

City

State

Zip Code

How did you hear about us?

I’ve brought you wildlife before

I found you via social media/internet

Referred by someone

By whom

which media

Please provide their name (If Animal Control, provide county)

Other Info

Please note that we do not work with, nor are financially supported by the Wildlife Rescue League, animal control or any other wildlife group or center. If you wish to donate to the rehabilitators directly caring for your animal(s), please do so through our A.E.R.O. website.

Accepting Rehabber’s Name or City

Species

Text Input

NOTICE: Virginia defines a as a Rabies-Vectored species. Please answer the following questions with as much detail as possible.

Did the the animal bite, scratch or lick anyone?

Yes

Please describe what happened

List name, address, and phone number of person(s) bitten, scratched or licked

Was the animal hand-fed?

Yes

Has anyone handled the animal without gloves?

Yes

List name, address, and phone number of person(s) who handled without gloves

Did the animal have any contact with a dog or a cat?

Yes

Please describe the interaction

Is the dog or cat referred above current on rabies vaccination?

Yes

Number of Animals

Do you know the name of the specific species?

Animal’s Found Location

Circumstances

Condition (describe)

Date First Seen

Date Captured

Did you feed the animal?

Yes

What/how/when did you feed the animal?

Did you help it in any other way?

All wildlife care is on a volunteer basis. If you care to leave a donation to help cover our expenses, it would be appreciated, and 100% will be used to care for your (s).

By submitting this form, you agree to relinquish all claim to, and responsibility for, the above described animal upon delivery to an A.E.R.O representative.

** STOP **

This is not a request form

If you do not have an agreement (and a drop-off address) from an A.E.R.O. rehabilitator to accept your animal, do not fill out this form!!

NOTICE: Virginia defines a as a Rabies-Vectored species. Please answer the following questions with as much detail as possible.

STOP