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?*

Our Location

7985 FM 78
San Antonio, TX 78244

Contact

Phone: (210) 661-4201

Hours

Monday: 7:00 am – 5:00 pm
Tuesday: 7:00 am – 5:00 pm
Wednesday: 7:00 am – 5:00 pm
Thursday: 7:00 am – 5:00 pm
Friday: 7:00 am – 5:00 pm
Saturday: 7:30 am – 12:00 pm
Sunday: CLOSED

Medical History / Risk Assessment

Conditions

Our Location

Contact

Hours

Book An Appointment With Our Team Today!