Surrender Application

Surrender Application & Intake Form

Please fill out the form below if you would like to surrender a dog to Rescue One. This form is required for every dog we take in to Rescue One.  We realize that, in the case of a stray you have found, you may not have all the information–just give us as much information about the dog as you can.

Keep in mind that filling out this form does NOT guarantee that Rescue One will be able to accept the dog into our foster program, as limited spaces are available.

Surrender Application & Intake Form


Please make sure that you have thoroughly read through our Surrender A Dog page and have exhausted all prior options before filling out this form.

At this time, Rescue One does not accept cats or kittens. If you need to surrender a cat or kitten, we recommend that you contact other area rescues who do accept them (depending on available space) such as C.A.R.E., Watching Over Whiskers, or the SW MO Humane Society.


Your Information

Your Dog's Information

You may also have your vet fax the records to our fax number, 417-719-7986

Optional: Can you make a surrender donation? A donation would help cover vetting, flea/tick preventative, and food while in our care. Rescue One does not receive any government funding, and is not affiliated with any national humane organizations or animal control. All of our animals live in loving foster homes.

Donations can be made by cash or check at the time we receive the animal, or by PayPal through our website. Please wait for the animal to be accepted before donating! We will never turn away an animal based on inability to afford a donation.