Pre-visit history cat

Sooke Veterinary Hospital

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Working with us

Home
Blog
Contact
Team
Pet info page
Services
New pet? Click here
Take a tour
Working with us

In order to smooth your upcoming visit at Sooke Veterinary Hospital, please complete the below form prior to your arrival. This will allow our doctors to focus on your concerns regarding your pet's health, while still ensuring all pertinent information is gathered for your case.

Pre-visit history form

* Indicates required field

Pet Name *

First

Last

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Confirm email address *

Appetite *

Current main diet (including brand and flavour) *

Amount fed and frequency *

Do you plan to travel with your pet this year? If so, where? *

Most recent date and brand of flea or tick control *

Current medications and/or supplements *

Drinking *

Energy *

Concerns (please tick yes/no for each)

Vomiting *

Yes- Lots Yes- Rarely No

Diarrhea *

Yes- Lots Yes- Rarely No

Coughing *

Yes- Lots Yes- Rarely No

Sneezing *

Yes- Lots Yes- Rarely No

Discharge eyes or nose *

Yes- Lots Yes- Rarely No

Collapse *

Yes No

Seizures *

Yes No

Lump(s) *

Yes- New Yes- Old No

Limping or troubles getting around *

Yes- Lots Yes- Sometimes No

Pain *

Yes No

Incontinence or inappropriate urination/defecation *

Yes- Lots Yes- Rarely No

Itching and licking- please score out of 10 (0= no itching, 10= never stops) *

Licking and itching score is a one to ten scale; 0 being a normal non-itchy pet and 10 being a pet that interrupts tasks, including sleep, in order to lick or itch.

Other concerns (please list) *

Please elaborate on any identified concerns (eg when it started, frequency of issue, if it is worsening or staying the same etc) *

We would like to keep your pet as calm as possible. What can we do to help make them comfortable? (eg. favourite treats, approaching, tips for handling) *

Any additional information you wish us to know? *

Submit

At this time, we request as few people in the exam rooms as possible. Please send a proxy or utilize our curbside services if you are feeling sick. Use of masks is now optional in our clinic. Thank you for completing the form! We look forward to seeing you and your pet!