*** THIS FORM IS FOR EXISTING APPOINTMENTS ONLY ***

CLIENT INFORMATION

Please fill out this form for existing appointments only

Have you or anyone in your family/household shown signs of Covid, or had exposure to a person that has tested positive for Covid?
VISIT INFORMATION
Is it OK for us to give your pet clinic treats? (please bring your own for us to use if not)
Is your pet currently receiving parasite protection?
DOGS ONLY: Are you interested in an injectable heartworm prevention product that lasts 12 months?
What is the reason for your visit today?
How is your pet's appetite?
How is your pet's water consumption?
Have you noticed any diarrhea, constipation, or other changes in stool?
Have you noticed any vomiting?
Have you noticed any coughing/sneezing/discharge/other respiratory signs?
Have you noticed any limping/pain/stiffness, or other mobility issues?
Have you noticed any skin or ear issues, such as itching/head-shaking/chewing/scooting?
Have you noticed any new lumps, or changes in existing lumps?
  • For the curbside appointment, I understand that:

    • Masks are required for any interaction with our team members
    • Pets must be on leash with secure collar or in a carrier
    • I must call the clinic upon arrival (612) 522-4374, option 2
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