Appointment History Form

Please complete this form before coming to the hospital. Thank you!

 

 

Please mark any symptoms that your pet has been experiencing (select all that apply)
Has your pet's appetite changed?

For example: Does your pet’s stool look normal in colour? If no, is it black or bloody? If your pet is coming for a vaccine or booster appointment, please bring a fecal sample for parasite screening to your appointment.

 

Would you like your pet’s nails trimmed while here? (There is a fee for nail trims unless you have purchased a Healthcare Program.)
Would you like your pet’s anal glands emptied? (additional cost)
Are there any new lumps or bumps you have found?
Is your pet currently taking any flea, tick or parasite medication (for example Revolution, Nexgard)?

Please bring to your appointment all medications your pet is currently taking. Thank you!

 

 

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