獸醫診所轉介 Vet Clinic Referral
請填寫此表格，以幫助我們更快地了解您的寵物 Please fill out this form to help us understand your pet better and more quickly.
Vet Clinic/Hospital
Veterinarian Name:
Phone Number
*
E-mail
*
example@example.com
Owner Name:
*
Owner Contact Number
*
Owner Address:
*
Pet Name:
*
Pet Breed/Age/Gender/Desex:
*
預約原因 Reason for Appointment:
*
1. 血液採集 Blood Collection
2. 處理肛門腺 Express Anal Glands
3. 耳道沖洗和清潔 Ear Flushing And Cleaning
4. 餵藥 Medication Administration
5. 根據獸醫指示進行注射 Injection Administration as directed by Veterinarians
6. 皮下液體輸注(打皮下水) Subcutaneous Fluid Administration
7. 手術後傷口檢查 Post Surgery Wound Checks
8. 傷口處理 Wound Management
9. 血糖檢查 Blood Glucose Checks
10. 血壓檢查 Blood Pressure Checks
其他 Other
Please provide a brief overview of the case.
Please upload the pet's medical history if possible.
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*
* We will send the medical history to info@cozycare-hk.com
*
* I have received the owner's consent to share their personal information with Cozy Care for this purpose.
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