Please only complete this form if you have already contacted your local clinic and booked an appointment. We are adhering to social distancing measures for those who visit us for an appointment and you will not be able to enter the building at this time. When you arrive, you should call us to let us know that you have arrived and we will collect your pet whilst maintaining 2 metres distance and take them inside for their consultation. This form will allow us to have access to as much information as possible about your pet and will support us in providing the best care we can. Thank You.
First Name*
Last Name*
Email*
Pet Name*
Address
Select Clinic*Select Clinic*AshtonBristolLiverpoolMordenNottinghamPortsmouthSouthamptonWaltham ForestWarrington
What is the date and time of the appointment you have booked?*
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Select Treatment you have Booked*Select Treatment you have Booked*Puppy and Kitten First VaccinationsSecond VaccinationsBooster VaccinationsAnal Gland Expression
How long have you had your puppy/kitten?
Where did you acquire them from?
Did you meet the parents and/or the breeders? If so, what was your impression of them? Did the parents seem healthy?
Did you meet the other litter mates? If so, how were they compared to your pet?
Did the breeder/rescue group mention any pre-existing health problems?
What vaccinations has your pet already had and when? Please include the brand of vaccine.
What worming has your pet already had and when?
What flea treatment has your pet already had and when?
Has your pet been microchipped already? If not, are you planning to have them microchipped in the future?
If your pet has been microchipped, have you arranged for it to be transferred to your details yet?
What food are you giving to your pet (including brand), and what treat foods are you giving in addition to this? How long have you been feeding this diet? Do you feel that they've enjoyed it?
What has your pet been drinking? Have you been offering milk? If so, what type?
Do you have other pets at home? How is your new pet getting along with your other animals? Has your other pet been vaccinated in the last 12 months?
Have you noticed any abnormal behaviours that have concerned you?
For cats: do you plan to keep your cat indoors?
Has your pet been healthy recently? Any coughing/sneezing/vomiting/diarrhoea?
What has the consistency of their poo been (watery/soft/firm/dry)?
Do you intend to spay/neuter your pet?
How did your pet seem after the last vaccination? Any vomiting, diarrhoea, sleepiness, lump at the site?
Have you changed anything about your pet's diet since the last check?
Is your pet currently on any medications, other than flea and worming medications?
(If not performed with us) When was your pet's last vaccination?
What brand of vaccine was it?
How was your pet after their last vaccination? Any vomiting, diarrhoea, sleepiness, lump at the site?
Is your pet currently on any medications?
Has your pet been diagnosed with any medical conditions since their last vaccination?
What worming has your pet had and when was this last given?
What flea treatment has your pet had and when was this last given?
For cats: does your cat have access to the outdoors?
Have you noticed your pet scratching more than usual?
Have you noticed any increase in the amount of water your pet drinks?
Have you noticed any change in your pet's weight?
Does your pet interact with many other animals that you don't know?
When did you first notice a problem with your pet's anal glands? What specifically did you notice?
How often do you usually get them expressed?
When was the last time they were expressed?
What signs have you noticed recently that lead you to believe that they need expressing?
How have your pet's bowel movements been recently?
Has your pet been urinating normally as far as you're aware?
Has your pet been itchy on their paws, face, ears, or back?
What diet does your pet usually eat? Please include brand, and any treat foods that are usually given.
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