Canine and Feline Wellness Checklist

Dear Friends,

In order to respect physical distancing and to help minimize wait times, we are asking our clients to kindly respond to the following questions and email your responses 24-48 hours before you arrive for your appointment.

Appointment times are booked for 30 minutes. If you have a concern about your pet or a new health issue arises between booking and your appointment, please notify us ASAP as we may want to adjust the appointment to allow for more time and/or change the appointment sooner.

Please let us know ahead of time if you have any questions.

* Indicates required field

Date *

Name *

First

Last

Patient/Pet *

Confirm Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Phone Number For Appointment *

Email *

Reason for your pet's visit? *

If your pet is with us for vaccines, have they had any of the following after vaccines? (vomiting, diarrhea, lethargy, pain at vaccine site) *

Is your pet urinating normal amounts? or Increased *

Do you have any concerns or are there any changes in your pet's overall health? Has their energy level changed? If so, how? (increased/decreased) *

Are there any changes in their eating or drinking habits? If so, how? (increased/decreased) *

Has your pet had any episodes of vomiting, diarrhea, coughing or sneezing?And frequency? *

Is your pet experiencing any ear, eye, skin or other dermatological issues (growths or masses) we should know about? *

Does your pet strain to urinate or defecate? *

What medications (including supplements) is your pet on? (or none) *

Do you have any concerns about their weight? *

Please specify the brand of your pet's diet and whether it is a dry food, canned or both. *

Your Pet's Lifestyle

Does your dog travel (cottage). If so, where? Does your cat travel or go outside? (leash, deck, porch, backyard, free roam) *

We really appreciate you taking the time to submit this questionnaire ahead of time as it allows us more time to focus on your pet.

Submit

WHAT OUR CLIENTS ARE SAYING

Canine and Feline Wellness Checklist

Your Pet's Lifestyle

Contact Us!

Subscribe to our Newsletter!