• Curbside History Form

    Please have this form complete before coming to the hospital. Your pet will be brought into the hospital by a team member, the doctor will do an exam and any questions/conversations will be by phone. Please have a cell phone ready to be contacted during your pet's appointment and the number of that phone on this form. Payment for services will be curbside as well and expected after the visit is complete.
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  • Appointment Date*
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    2 digit month, 2 digit day, 4 digit year
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  • Has your pet been coughing?*
  • Has your pet been sneezing?*
  • Does your pet have nasal discharge?*
  • Has your pet been vomiting?*
  • Has your pet had diarrhea?*
  • Does your pet's stool look normal color?*
  • Has your pet been drinking more?*
  • Has your pet been urinating more?*
  • Have you seen your pet's urine?*
  • Has your pet's appetite changed?*
  • Any change in diet?*
  • Is your pet lethargic?*
  • Is your pet here because it is limping? If so, which leg and how long?*
  • Has your pet cried out?*
  • Does your pet have problems with one or both of their eyes?*
  • Does your pet have problems with one or both of its ears?*
  • Do you have concerns with your pet’s teeth?*
  • Would you like your pet’s nails trimmed while here?*
  • Would you like your pet’s anal glands emptied?*
  • Are there any new lumps or bumps you have found?*

  • Curbside appointments must arrive 10 minutes prior to appointment. If you are scheduled for a routine, annual exam, we recommend yearly blood work and viral screening, stool samples are checked twice yearly, and vaccines due updated. We will provide an estimate over the phone of what we have in our records that is needed for your pet once we have received your completed form and have had an opportunity to perform the initial examination.

     

    Please have your pet on the leash or in a carrier when we meet you at the entrance to the clinic.

    When you park, please call the office to let us know you have arrived.

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