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!
Do you want to be added to our mailing list?
How did you hear about us?
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.
Species
– Select – Bat Beaver Bird Chipmunk Cottontail (Bunny) Fawn Flying Squirrel Fox Frog Groundhog Mouse Opossum Raccoon Skunk Snake Squirrel Turtle Raptor Other
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?
List name, address, and phone number of person(s) bitten, scratched or licked
Has anyone handled the animal without gloves?
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?
Is the dog or cat referred above current on rabies vaccination?
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.
Submit Form