Patient Information – Submit Pre Appointment

Please fill out this form at least 1 day before your appointment. We are currently open, but take all precautions we can with the COVID pandemic. Please follow our protocols for the safety of our clients and staff: - Once you arrive at the clinic, we will ask you to call us from your vehicle. - Please DO NOT enter the clinic. We will then come outside and get your pet, and bring them inside. Please remain in your car. - After your pet has returned to the car, we will ask you to pay by Visa, mastercard or e-transfer to reception@riverroadanimalhospital.ca. We will e-mail you an invoice and you will be ready to go!

Pets Name

First Last

Date of Appointment

Cell phone - must be reachable during appointment

Email

Please list any concerns with your pet? How long has it been going on? Please list any changes or abnormalities.

Any vomiting or diarrhea?

Any coughing or sneezing?

Diet: what type of food and treats does your pet get? How often and how much?

Any change in appetite?

Any change in thirst or urination?

Any itching or chewing?

Any lumps or masses? Have they changed?

Is there any soreness, stiffness or lameness?

Behavioural changes?

For cats - does your cat go outdoors?

For dogs - are they on trails? rural? cottage?

Has your pet travelled outside of Canada in the past 6 months?

Is your pet on any medications or supplements? Please list with dosages.

If pet is not up to date on core vaccines, would you like them vaccinated today (if not medically contra-indicated)?

For dogs core vaccination is Rabies, Distemper, Adenovirus, Parainfluenza and Parvovirus For cats core vaccination is Rabies, Rhinotracheitis, Calicivirus and Panleukopenia.

For dogs - do you wish Bordetella vaccination?

To help prevent Kennel cough - recommended for boarding, grooming, day care or socializing with other dogs

For dogs - do you wish Leptospira or Lyme vaccination?

Lyme disease is transmitted by ticks and has been found in our area. It can cause serious immune disease in dogs and people. Leptospira can be carried by skunks and raccoons and standing water can be a reservoir. Leptospira can be contagious to people and cause serious liver or kidney disease.

For cats - do you wish Feline Leukemia vaccination?

Feline Leukemia can be transmitted by bites or close contact with infected cats. It is recommend that cats that go outdoors are vaccinated for Leukemia. Leukemia vaccine can be more reactive and not recommended for cats not at risk.

Ticks and Lyme disease are a concern in our area. We recommend yearly tick testing and prevention. If not done in the past year would you like your pet tested for tick and heartworm disease ($94.58)?

Wellness blood testing

Wellness testing is recommend to have a health baseline, for senior pets or for new pets. For cats that may have had contact with strays or unknown history we recommend testing for Feline Leukemia and Feline Immunodeficiency Virus.

If not started yet, would you like to purchase tick and flea prevention? (Recommended March to November)

Consent*

I give consent to the following:

I agree to the privacy policy. I give consent to examination of my pet and the agreed course of treatment. I will give verbal consent for any treatment plans and understand I may not be present with my pet in the hospital.

Comments

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Patient Information - Submit Pre Appointment