• Patient History Questionnaire

    Companion Animal Clinic
  • *This is for appointments that have already been scheduled*

  • Please call or text us at 760-228-1474 when you arrive for your appointment. Appointments will be conducted “curbside” where a staff member will call to take a history, then bring the pet in the building for an examination. Staff will then call with the exam findings and recommendations and the pet will be returned to you. We are making exceptions for euthanasia appointments, which will be conducted inside with special precautions and clients must wear a covering over both the nose and mouth at all times. If you prefer to witness your pet’s exam, we will make special arrangements to do the exam outside in our fenced area and you can view from the parking lot while you wear a covering over the nose and mouth at all times.

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  • By signing this form, I agree to have the services that I checked performed on my pet. I understand that any vaccine has the potential to cause an allergic reaction ranging from mild to severe and that vaccines may cause lethargy, soreness and mild fever. Reactions are more common in dogs under 20 pounds receiving more than one vaccine at a time.

    If I miss this appointment without calling Companion Animal Clinic to inform them ahead of time, I understand that I will be charged a $25.00 deposit if I want to schedule another appointment. That $25.00 will be deducted from my invoice balance on the day of the new appointment. If I miss the new appointment without letting CAC know ahead of time, the deposit is nonrefundable.

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