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Shaffer AH - New Patient Form

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    Shaffer AH - New Patient Form

    *THIS FORM SHOULD ONLY BE COMPLETED IF YOU HAVE ALREADY BEEN ESTABLISHED AS A CLIENT WITH SHAFFER ANIMAL HOSPITAL BUT THIS IS A NEW PET TO YOUR HOUSEHOLD. IF THIS IS YOUR FIRST VISIT TO SHAFFER ANIMAL HOSPITAL, PLEASE COMPLETE THE NEW CLIENT FORM INSTEAD*

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    Use of Medical Scribe Software

    To help us provide more focused and hands-on care during your pet’s visit, our practice uses medical scribe software to assist with real-time, accurate documentation of your pet’s medical records. This technology allows our doctors and veterinary team to concentrate more fully on your pet while ensuring important medical information is thoroughly captured.

    An added benefit of this system is that it gives us the ability to provide you with a detailed summary of your pet’s visit when needed or requested. We know appointments can involve a lot of information—such as diagnoses, treatment plans, medication instructions, and follow-up care—which can be hard to remember later. Visit summaries can be a helpful resource in supporting your pet’s care at home.

    If you wish to opt out, a separate opt-out form must be completed before your pet’s appointment. We encourage clients to remain opted in so they can take advantage of this feature if desired.

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    Please Select
    • Please Select
    • Male
    • Male/Neutered
    • Female
    • Female/Spayed
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    As a Fear Free Certified Professional team, we want to make you pet’s veterinary experience as enjoyable and as stress free as possible. As such, it’s important for us to understand what your pet might find upsetting. The information will help us to adjust our care to better serve and comfort your pet. Please answer the following questions to the best of your ability so we can take into consideration both your & your pet’s preferences.

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    • Yes
    • No
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