Rabbit A/E Pre-Exam Questionnaire

We’re excited to welcome your rabbit to Woodland Veterinary Hospital. This questionnaire helps our team gather important information about your pet’s health before their visit.

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Complete the Questionnaire

Contact Name *

First

Last

Phone Number *

Email Address *

Pet's Name *

Do you have any specific health concerns for your rabbit? *

What is your rabbit's energy level? Has it changed at all? *

How is your rabbit's appetite? Have they experienced a change in appetite or water intake? *

Would you like us to update your rabbit's vaccines today? If so, which ones? *

Is your rabbit microchipped? If not, would you like us to microchip them today? *

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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