General Pre-Exam Questionnaire

We’re excited to see you and your pet for an upcoming exam. Our General Pre-Exam Questionnaire helps our team gather important information about your pet’s health and symptoms before your visit.

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Complete the Questionnaire

Thank you for scheduling your pet's exam with Woodland Veterinary Hospital. Please complete this form prior to your pet's appointment to help expedite the check-in process for you and your pet.

Thank you for taking the time to fill this out! We look forward to seeing you and your pet for your appointment.

Contact Name *

First

Last

Email *

Phone Number *

Pet's Name *

What is the primary reason for your visit today? *

Do you know or have a guess as to what caused the symptoms? *

When did you first notice the issue? *

Has your pet experienced a change in appetite or water intake? *

Is your pet coughing or sneezing? *

Has your pet experienced any vomiting or diarrhea? *

Please list any current medications and/or supplements your pet takes. *

Is there any other health information that you would like us to know? *

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

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