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- Why is your pet coming to see us?*
- If you selected Cat Annual Wellness Visit, what services would you like your pet to receive while they're here?
- If you selected Dog Annual Wellness Visit, what services would you like your pet to receive while they're here?
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- What is your pet eating? Please select all that apply:*
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- Has your pet been eating normally?*
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- Does your pet have chew toys?*
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- How is your pet's water consumption?*
- Is your pet on a heartworm preventative?*
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- If yes, how often do you provide heartworm preventative?
- Is your pet on a flea/tick preventative?*
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- If yes, how often do you provide flea/tick preventative?
- Is your pet on any other medications?*
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- Is your pet on any supplements?*
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- Has your pet had any coughing?*
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- Has your pet had any sneezing?*
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- Has your pet had any diarrhea?*
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- Has your pet had any vomiting?*
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- How many minutes of exercise is your dog getting per day?*
- How is your pet's energy level?*
- Does your pet go outside?*
- If your pet goes outside, does your pet go for walks?
- Does your pet go anywhere for boarding?*
- Does your pet go anywhere for grooming or daycare?*
- Do you have any recent travel history outside of New England?*
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- Does your pet see any other veterinarians or animal care specialists?*
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- Do you have insurance for your pet?*
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- Is there anything else you would like your veterinarian to be aware of?*
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- As Fear Free Certified Professionals, we want to make your pet's veterinary experience as enjoyable and stress-free as possible. Are you interested in providing more information about your pet's behavior so we may accommodate their needs upon arrival?*
- Does your pet show any reluctance to getting in the carrier or car?*
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- During travel to the veterinary hospital, does your pet do any of the following:*
- Does your pet prefer:*
- Check any situations listed below that your pet has shown avoidance or dislike of in the past. You can add additional comments at the end.*
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- Should be Empty: