Client Name*

Client Email*

Pet Name*

Feeding and drinking

What type of food is your pet currently being fed? Please include the brand, the quantity and frequency.

If the type of food you feed has recently changed, what food did you previously feed? Please include the brand, the quantity and frequency.

If your pet is a fussy eater, what food would tempt them to eat?

Is there any food your pet does not tolerate?

Do you typically offer food and water from bowls on the floor or elevated such as on a stand?

Has your pet’s appetite recently changed?

If yes, has their appetite increased or decreased?

Has your pet’s thirst recently changed?

If yes, is their thirst increased or decreased?

Medication

Is your pet currently receiving any medication?

If yes, which medication is it and how frequently is it given?

Is your pet currently receiving any supplements?

If yes, which supplement(s) and how frequently is it given?

Are there any medications your pet does not tolerate?

If yes, please state which one(s) below

When was your pet last vaccinated and which vaccinations were given? If you are unsure then you could check your pet’s vaccination card or bring the vaccination card to the appointment.

When did your pet last receive deflea and deworming treatments? Please also state which medications were given.

Exercise and toileting

How much exercise does your dog have each week? Include number of walks per day and for how long, and whether exercise is on or off the lead?

Does your dog swim in streams / lakes / the sea?

Does your dog have any commands to urinate or defaecate?

Will your dog defaecate on concrete / grass? Please state which

Prior medical history

Has your pet ever had surgery?

If yes, please state the type of surgery (including neuter surgery) and how they recovered from the anaesthestic for this surgery

Does your pet have any implants apart from a microchip?

If yes, please state which type (i.e. a bone plate)

Has your pet ever left the UK?

If yes, where has it travelled to and when was your pet last abroad?

Has your pet ever had a seizure?

Prior medical history

Does your dog tolerate interactions with other dogs?

Does your dog tolerate kennelling?

Nursing care during hospitalisation

Does your pet struggle to maintain their body temperature, either getting too cool or warm?

Is there any particular bedding your pet prefers?

Does your pet like to be groomed?

Are there any area(s) on your pet’s body they not like to be touched / examined?

Is there anything else you would like us to know about your pet?

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