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Stack Vet - History for Routine Exams
1
Enter Your Name
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First Name
Last Name
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2
Email
example@example.com
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3
Pet's Information
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Pet's Name
Pet's Date of Birth
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Cat
Dog
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Cat
Dog
Species
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4
What your concerns today? When did it start?
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5
Is your pet on preventatives?
YES
NO
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6
Does your pet have any allergies or reactions to medications?
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7
Have you seen any fleas or ticks on your pet? When?
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8
How is their appetite and water intake?
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9
Any changes in bowel movements or urinary habits?
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10
Any of the following?
Vomiting
Diarrhea
Coughing
Sneezing
Lumps
Itching
Other
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11
How are they getting around/mobility/any limping?
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