Report a Seizure

Report a Seizure

*For existing patients experience non-emergent seizures only.
If your pet has had a seizure, and is a current patient of CVNI, please use this form to report the seizure. This information will be used to record the frequency of your pet’s seizures, and is not meant to be used to report an emergent situation.

When your pet needs immediate care, please take him/her to the nearest pet hospital for emergency treatment.

Patient Information
Patient Name*
Select Your Pet's Neurologist
Enter Date(s) of Seizures
Please enter date(s) of all seizure events.
Current Medications and/or Changes in Medications (Any missed doses?)
Did you give any additional medications? If so, how much?
For example: Valium
Last Date of Seizure Activity Prior to this Event
Description of Event (# of Seizures, Duration, Frequency)
Thank you for reporting your pet's seizure. This report will be reviewed by the CVNI team. We will contact you if an adjustment needs to be made to your pet's management plan.
Should be Empty: