Annual Canine Exam Form

Thank you for entrusting your pet’s care to us today! The following information will be used to help our veterinary team accurately complete your pet’s medical history for today’s visit. We will need to be able to contact you or someone with permission to make medical and financial decisions.

We ask that one to two adults be present at your pet’s exam since our exam rooms are too small to accommodate many people.

The check-in and check-out processes for all visits will occur over the phone, so please provide the information below even if you intend to attend your pet’s appointment. Thank you!

*If you are ill or have had close contact with someone who is ill, please consider a fully curbside appointment or wear a mask for the safety of our team. Mask can be provided.