Pre-Visit Questionnaire

Complete the form below prior to your next appointment or download and print the form to complete at your convenience.

Please select which hospital you're visiting(Required)

Client's Name(Required)

*** If you answer NO to any of the following questions, please provide information as to what has changed ***

Is your pet eating & drinking normally?(Required)

Is your pet acting normally?(Required)

Is your pet urinating normally?(Required)

Has your pet been coughing or sneezing?(Required)

Has your pet had any vomiting or diarrhea?(Required)

We do our best to promote a Fear Free environment and try to win our patients over with treats and affection. In some cases, this doesn’t work, and it is determined that a muzzle is in the best interest of everyone involved. If absolutely necessary, do you consent the use of a muzzle on your pet?

Once the doctor has performed an exam, a staff member will give you a call to discuss their findings and to provide you with an estimate. We have also included a credit card authorization form, if you would like to fill it out for an easier checkout at the end of the visit.

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