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Client Name
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What symptoms are you observing?
*
When did you first notice these symptoms?
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What diet is your pet currently eating and how much?
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What heartworm/flea/tick prevention is your pet currently taking?
*
When was the last dose given?
MM slash DD slash YYYY
How many doses do you have left?
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Have you found any ticks on your pet recently?
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Any change in urination or defecation habits?
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Any change in food or water intake?
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Is your pet up to date on his/ her vaccinations?
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When was the last time you pet had a dental cleaning?
*
Would you be interested in an injectable heartworm preventative that provides 6 months of coverage?
*
Where do you prefer to purchase your preventatives?
*
*It is always best if you can collect and bring a fecal sample with you to your pet’s appointment.
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What's Next
1
Call us or schedule an appointment online.
2
Meet with a doctor for an initial exam.
3
Put a plan together for your pet.
Make An Appointment