| I
will be dropping off my pet for treatment Yes.
To
contact me, please use:
Home
Phone Work
Phone
How long
has the condition been present?
Has your
pet received treatment for this problem? Yes
No
If yes,
what were the treatments and what was the outcome?
What
medications is your pet currently taking, if any?
If your
pet is in pain, where does the pain seem to be located?
| Please
select the appropriate symptoms.
Attitude:
Normal Depressed/Lethargic
Appetite:
Normal Increased
Decreased
Water
drinking: Normal
Increased Decreased
Urination:
Normal Increased
Decreased
Vomiting:
Yes No
Diarrhea:
Yes No
Coughing:
Yes No
Sneezing:
Yes No
VACCINATIONS: All pets staying in our hospital are required to be currently vaccinated against RABIES and DISTEMPER and have a current negative intestinal worm exam. Additionally, all dogs must be currently vaccinated against PARVO and
BORDETELLA.
FLEA POLICY: Your pet will be inspected for fleas upon admission and prior to discharge. All patients will be treated for fleas if they are present upon admission at owner’s expense.
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