• Medical History: Oncology Initial (Bellingham)

    Medical History: Oncology Initial (Bellingham)

    4176 Meridian St, Bellingham, WA 98226 | Phone: 360-982-0166 | FAX: 1-888-867-6928 | bbvsh.com/bellingham | bellingham@bbvsh.com

  • Health Check

  • During the COVID-19 outbreak, the health and safety of our clients, patients, employees, doctors and our community is paramount.

  • Have you travelled to any countries outside the United States (including Canada) within the last 14 days?*
  • Did you provide care or have close contact with a person with COVID-19 (probable or confirmed) while they were ill (cough, fever, sneezing, or sore throat) within the last 14 days?*
  • Did you have close contact with a person who travelled outside of the United States in the last 14 days who has become ill (cough, fever, sneezing, or sore throat)?*
  • Have you or anybody in your home had contact with someone who is being tested for COVID-19 or who has been diagnosed with COVID-19?*

  • Contact Information

  • Which tests have been performed?*

  • Is your pet currently experiencing any of the following symptoms?

  • Difficulty breathing?*
  • Collapse?*
  • Seizures?*
  • Coughing?*
  • Has the coughing gotten better, worse, the same?
  • Is your pet sneezing?*
  • Has the sneezing gotten better, worse, the same?
  • Is there nasal discharge?
  • Vomiting?*
  • Has the vomiting gotten better, worse, the same?
  • Diarrhea?*
  • Has the diarrhea gotten better, worse, the same?
  • Lameness?*
  • Do you think your pet is in pain?*
  • Is your pet drinking normally?*
  • Are they drinking more or less?
  • Is your pet urinating normally?*
  • Are they urinating more or less?
  • Is your pet eating normally?*
  • Are they eating more, less or not at all?

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