The following New Patient Form is for clients/ patients that have a confirmed initial consultation with one of our veterinarians.
If you have not yet scheduled a consultation, but would like to make an appointment, please call our front desk at 206-773-2262 or email us at email@example.com.
If you have a confirmed consultation, please complete and submit the New Patient Form below. This form must be completed and returned to us no later than 48 hours prior to your appointment or your appointment will be canceled and given to the next person on our wait list.
NOTE: If you don’t see this Thank You page after submitting your form, please check for errors as your form was not submitted correctly.
Include all supplements, parasite prevention, over the counter and prescriptions. Please also include frequency of administration and date of last dose(s).
Allergies to any medication (vomiting, diarrhea, change in appetite, sedation, etc.). Please list medication and reaction.
Please list all sources of calories your pet takes in – dog/cat AND people food. Include pet food brand, formulation (dry, can, raw), amount, frequency (once a day, free choice, twice a day) and ALL treats and table scraps.
Please list any clergies your pet has to foods.
What is the presenting complaint? (provide as much detail as possible).
Was there a history of trauma or inciting cause?
Are there situations that make this complaint better or worse? (ie - is your pet more sore first thing in the morning but then warms out of it? Does he/she become lame after a long walk or play?
Have you tried any medication or therapy for this complaint? Did it help?
What is your pet’s current exercise and activity level? Include frequency and duration of walks, dog park, hiking, swimming, etc.
Where has your dog traveled in the last 3 years? (Eastern WA, Oregon, Florida...).
List all surgeries, including spay or neuter, and approximate date.
List any previous medical history, including any hospitalization or treatments (ie, seizures, bladder infection, pancreatitis).
What is your ideal level of exercise or activity for your pet? (ie, able to play at the dog park without being sore, able to go for a walk without limping, able to hunt or participate in agility competitions).
Describe any other goals or concerns regarding pain management and mobility that you would like to discuss.