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7985 FM 78 San Antonio, TX 78244
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New Clients
New Client Registration
Medical History / Risk Assessment Form
Payment Options
About
Our Core Values
AAHA-Accredited
Team
Testimonials
Pet Memorials
Clinic Tour
Pet Portal
Services
Boarding
Dental
Emergency Service
Heartworms
In-House Labortatory
K-Laser
Spay and Neuter
Ultrasound
Vaccinations
Wellness Exams
X-Rays
Dental X-Rays
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
News
Pet Insurance
Adopting and Rehoming Pets
Contact
Book an Appointment
Customer Satisfaction Survey
Veterinary Resources
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Medical History / Risk Assessment
Pet's Name
*
Owner's Name
*
First
Last
Reason for visit:
*
Current medications/supplements:
*
Do you ever give your pet over-the-counter medications (i.e. Aspirin, Tylenol, Advil, etc)?
*
Yes
No
Has your pet been diagnosed with a heart condition or have a history of seizures?
*
Yes
No
Please list any other pets on the household (names, species, and breeds):
*
Conditions
Please check all that apply.
Mouth
*
No Problems
Bad Breath
Difficulty Eating
Other
If other, please specify:
Eyes
*
No Problems
Vision Loss
Drainage
Other
If other, please specify:
Ears
*
No Problems
Scratching
Odor
Other
If other, please specify:
Skin
*
No Problems
Scratching
Hair Loss
Other
If other, please specify:
Appetite
*
Normal
Decreased
Increased
Water Intake
*
Normal
Decreased
Increased
Urination
*
Normal
Decreased
Increased
Activity
*
Normal
Decreased
Increased
Mobility
*
Normal
Decreased
Increased
Inability to Stand
Inability to Jump Up
Inability to Run
Coughing
*
No
Yes
If yes, describe frequency:
Sneezing
*
No
Yes
If yes, describe frequency:
Vomiting
*
No
Yes
If yes, describe frequency:
Diarrhea
*
No
Yes
If yes, describe frequency:
Bahavior
*
No
Yes
If yes, describe frequency:
Are your pet's vaccinations up to date?
*
Yes
No
If no, what vaccinations are needed:
Previous surgeries/problems:
*
What do you feed your pet?
*
How often do you feed your pet?
*
Does your pet stay:
*
Inside
Outside
Both
Does your pet (check all that apply):
Go to Parks/Trails
Travel With You Out of the Area
Boarded/Groomed
What parasite control do you use?
*
Δ
New Clients
New Client Registration
Medical History / Risk Assessment Form
Payment Options
About
Our Core Values
AAHA-Accredited
Team
Testimonials
Pet Memorials
Clinic Tour
Pet Portal
Services
Boarding
Dental
Emergency Service
Heartworms
In-House Labortatory
K-Laser
Spay and Neuter
Ultrasound
Vaccinations
Wellness Exams
X-Rays
Dental X-Rays
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
News
Pet Insurance
Adopting and Rehoming Pets
Contact
Book an Appointment
Customer Satisfaction Survey
Veterinary Resources
Our Online Store
Careers
Our App
Online Store
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