Veterinary Care Unlimited Exam Check-In Form
Thank you for choosing us to care for your pet! Please complete the check-in form below for your confirmed appointment. If you need to request an appointment, please call us at (718) 296-7700 and we will be happy to serve you.
Pet Parent Name
Please enter a valid phone number.
Appointment Date & Time:
What services would you like performed during this appointment? Please select all that apply.
Heartworm & Flea Prevention Medication
Fecal Screen for Parasites
Anal Gland Expression
Any special concerns today?
Any coughing or sneezing? If yes, please describe.
Vomiting or diarrhea? If yes, please describe.
Have you noticed any lumps or bumps? If yes, where are they located, how long have they been there and have they changed in size?
Any changes in how much your pet drinks or urinates? Any change in appetite?
What brand/brands of pet food does your pet eat, including treats?
Please list all medications and/or supplements:
Should be Empty: