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Recheck Appointment Form

We appreciate you taking the time to complete this form prior to your appointment. The completed questionnaire helps us to approach your pets exam in a more planned manor to promote a fear free, low stress experience for your pet while ensuring we answer all of your pet care questions and make a plan for their health care.

On arrival, please remain in your vehicle, and call the office to let the staff know you are here. The medical staff will let you know when they can escort your pet directly to a room. Thank you for helping us try to promote a more quiet, “fear-free” environment for our more shy and anxious patients.

Client's First Name(Required)

Client's Last Name(Required)

Pet's Name(Required)

Phone Number(Required)

Is your pet a dog, a cat, or an exotic pet?(Required)

Dog

Cat

Exotic Pet

Appointment Date(Required)

Appointment Time(Required)

AM/PM

Please describe what we are rechecking in your pets visit today, and any other concerns. Please also include any information that may be helpful in today s appointment.(Required)

Have you seen any improvements and/or changes?(Required)

Please list all medications your pet is on and when they were last given.(Required)

Do you need a refill on any medications today?(Required)

Yes

If yes, what medication(s) do you need a refill for?

Please use this comment section to include any questions or concerns you have. Please also include any information that you feel would be helpful in treating your pet today. We will do our best to have your pet seen and communicate a plan as quickly as possible.(Required)

We recommended arriving 10 minutes prior to the appointment time.

Please have your pet on a leash or in a carrier.

I authorize care of my pet by the veterinarians and staff of Oakview Veterinary Medical Center as described above and in accordance with their current policies. Changes or additions to this treatment plan will be discussed as needed, either in person or by phone communication, based on the veterinarian’s exam findings and subsequent recommendations. I understand this may involve my pet being accompanied by a staff member during their visit, rather than myself.(Required)

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