If you are a licensed wildlife rehabilitator and are willing to accept calls from individuals wanting referral to a local rehabber, please fill out the form below. If accepted, your name will be listed in the contact section of this website. Thank you for your help! Please know that it often takes a LONG time to get listed.

NOTE: If you have already submitted this form and just have CHANGES in your listing information, please do not send in this form, but instead send your changes to Ronda at devo0028@umn.edu.

If you have never been listed here, please fill out this form and click on Submit ONLY ONCE when ready to send.

1. Do you have a state wildlife rehabilitation license?
   
   No
   Yes
   No, but I'm in the process of becoming licensed
   No licensing available in my state

2. Do you hold a federal wildlife rehabilitation permit?
   
   No
   Yes
   No, but I'm in the process of becoming licensed
3. Country (if U.S., please leave blank)
   

4. State/Province: (please write out)
   

5. Approximate Location Within Your State/Province: (where you are located, not where you serve)
   (Note that the listings are organized on the site first by state, then by region, then county, then city so it is important to know where to place your listing for others to find it easily.)
   
   North
   South
   East
   
   Northeast
   
   Southeast
   West
   
   Northwest
   
   Southwest
   Central
   
   North Central
   
   South Central
   
   East Central
   
   West Central
   

6. County the rehab facility is located in: (or more specific area if international listing)
   

7. City the rehab facility is located in:
   

8. Phone Number to be Listed: (listings will not be done without a contact number for the public)
   

9. Your Name:
   
   

10. What is the full name of the rehab facility you work with? (write "home" if none)
    

11. What is your affiliation with the rehab facility above?
    (Examples: director, veterinarian, other volunteer position (please list); if you are a subpermittee, please list so
    

12. Please list the web site address of your rehab facility (if you have one)
    

13. Do you want your email address listed on the site for people to contact you?
    
    YES, please list it
    No, just use internally
    
    • Please enter your email address (note that I must have your email address regardless to contact you about your listing):
      
      

14. What wildlife species do you accept (or do not accept)?
    

15. Do you have areas of marked specialty or knowledge?
    (NOTE: If not, please leave this area blank)
    

16. Any other information or comments you would like listed?
    

    NOTE: Only click on the submit button ONCE. Listings sometimes take awhile to be listed due to the volume of contacts to be added manually. PLEASE DO NOT RESEND YOUR INFORMATION IF YOU ARE NOT LISTED YET!

Thank you for your help.

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devo0028@tc.umn.edu Ronda DeVold

Last modified: Friday, September 05, 2003 - 6:19:32 PM

The views and opinions expressed in this page are strictly those of the page author.
The contents of this page have not been reviewed or approved by the University of Minnesota.