Annual Physical Pre-Exam Questionnaire

We’re excited to welcome your pet to the Woodland Veterinary Hospital. This pre-exam questionnaire helps our team gather important information about your pet’s routine and care needs before their visit.

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Complete the Questionnaire

Contact Name *

First

Last

Phone Number *

Email Address *

Pet's Name *

Date *

Are there any specific health concerns?

Any behavioral changes or concerns?

Has your pet's activity level changed? If so, please explain.

Any change in appetite/drinking habits?

What diet is your pet currently on?

Any changes in urination or bowel movements?

Would you like us to run a fecal test today?

Yes
No

Is your pet on any medications or supplements? If so, please list out what they are.

What flea and heartworm prevention does your pet currently use?

For dogs: Would you like a heartworm test?

Do you want any vaccines updated?

Yes
No

Some of our doctors use an AI scribe to assist with medical records. Is it ok for them to audio record your exam?

Yes
No

Do you agree to receive text messages from Woodland Veterinary Hospital?

I agree

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