• Nurse Appointment Medical History Form

    404 S. Edgemoor, Bldg 100, Wichita, KS 67218 316-683-4641
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  • Your pet is scheduled for a nurse appointment.  If you have any medical concerns, like the ones below, a different appointment will need to be scheduled with a doctor.

     

    • Change in appetite, drinking, urination.
    • Vomiting, diarrhea, constipation, other stool abnormalities.
    • Coughing, sneezing, nasal discharge, other respiratory signs.
    • Mobility concerns: (limping, pain, stiffness)
    • Skin or ear concerns: (itching, head shaking, odor, chewing, scooting, new lumps, changes of existing lumps)
  • I give the doctors and staff at Skaer Veterinary Clinic permission to examine my pet, and I understand that I am responsible for payment of service at the time of my pets dismissal.

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