CARE Pet Therapy Telehealth Request

Please note: We are only able to provide telehealth consultations to clients and patients who are already under the care of our veterinary team at CARE Pet Therapy. If your pet has not been assessed or examined by our team at CARE, please contact us by telephone to discuss your options for making an appointment at our facility.

Name

First

Last

Email

Phone

Pet Information

Pet Name

Briefly, what are you hoping to accomplish with this telehealth consult?

Who did you last see at CARE Pet Therapy?

When was your pet last seen at CARE Pet Therapy, and for what reason?

What have you been doing at home for your pet?

Has there been any change in your pet's condition since your last visit? If so, what?

Since your last visit, your pet's appetite has been

Since your last visit, your pet's urination has been

Since your last visit, your pet's defecation has been

If urination or defecation is abnormal, how so?

Since your last visit, your pet's exercise and activity level is

Please list the medications and supplements your pet is currently taking, including dosages and frequencies

Is there anything else you wish to share with us today?

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Pet Information

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