Pre-Visit Questionnaire

Please complete the form below prior to your next appointment.

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

Is your pet eating & drinking normally?
Is your pet acting normally?
Is your pet urinating normally?
Has your pet been coughing or sneezing?
Has your pet had any vomiting or diarrhea?
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 call you to discuss the results of the exam and any information that needs to be relayed. We require credit card information at the start of the visit and will bill you out once the exam is completed.

Please sign below.

By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement.

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