Kingsport Veterinary Hospital

Pet History Form

Please fill out our Pet History Form as completely and accurately as possible!

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Kingsport Veterinary Hospital

Pet History Form.

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please Appointment at 425-246-8561 for a faster response.

Also, please review our cancellation policy.

Name(Required)

Current Symptoms

Is your pet vomiting?(Required)
Appetite:(Required)
Does your pet have diarrhea?(Required)
Is your pet drinking more or less than normal?(Required)
Is your pet sneezing?(Required)
Is your pet coughing?  (Required)
Does your pet have any lumps/masses?(Required)

Medication and Supplements

Is your pet currently on any medications?(Required)
Does your pet take any supplements or vitamins?  (Required)
Does your pet take glucosamine or joint supplements?(Required)

Preventative Care

Is your pet on flea and tick preventative?(Required)
Do you give your pet Flea/Tick prevention year round?(Required)

Activity and Socialization

Does your pet go to the dog park?(Required)
Does your pet go to grooming?(Required)
Does your pet attend dog classes?(Required)
Does your pet board at a boarding facility?(Required)

Mobility and Comfort

Is your pet getting up and down from stairs or furniture more slowly or with hesitation?(Required)
Is your pet slow to lay down or get up after resting?(Required)

Let us know if you’d like any of these services performed during your visit today.

Would you like your pet’s nails trimmed today?  (Required)
Would you like your pet’s anal glands expressed today?(Required)
Would you like to catch up and bring your pet’s vaccinations current today if indicated?(Required)
Yearly Bloodwork: We offer a blood work to check liver function, kidney function, white blood cell, and red blood cell levels. Would you like  blood panel done for your pet today?(Required)