Veterinary Technician Pre-Appointment Form

IMPORTANT INFORMATION: PLEASE READ!

You have an upcoming appointment with one of our veterinary technicians. Your pet will NOT be seen by a veterinarian. Appointments with veterinary technicians are for minor, routine appointments such as nail trims, fluid or injection training, prescribed blood draws and urine collections not requiring an accompanying doctor exam, injections of medication, courtesy dental assessments, nutritional consults, weight rechecks, and routine spay, neuter or post-operative rechecks.

Veterinary technicians cannot address medical concerns in these appointments, and if these arise, it is NOT possible for your pet to also see a veterinarian during the same appointment. If your pet is sick or injured, has new or existing health concerns, is due for vaccines, or is in need of a wellness or recheck exam for any reason, a separate appointment with one of our doctors will need to be booked.

If your pet's appointment should NOT be booked with a veterinary technician based on the criteria above, or if you are unsure, please call the clinic as soon as possible, and we can advise if you should rebook your pet with a veterinarian.

Location

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Your Name*

What is your preferred pronoun?

Your Email Address*

Your Phone Number*

Does your pet live with anyone that has tested positive or been exposed to COVID-19 in the last 10 days, or has a fever, respiratory symptoms, loss of smell or taste, or other contagious illness symptoms?*

If yes, please arrange for someone outside your home to bring your pet in on your behalf, and call us right away if that is not possible, so that we can make a plan together. This is essential so that we can protect our team members and ensure that we can stay open to help pets in need.

Pet's Name *

Date and time of your pet's appointment*

What is the reason for your visit?*

Has your pet been experiencing any of the following: vomiting, diarrhea, coughing, sneezing, discharge OR changes in eating/drinking, energy, urination or defecation? Or do you have any new or existing medical concerns or questions for your pet that you would like addressed?*

Yes
No

If yes, they may require an exam with a veterinarian, unless they have just had one and are coming in for a follow-up technician treatment that the doctor prescribed. Veterinary technicians cannot address medical issues - if in doubt, please contact us to check if you should rebook with a veterinarian.

Security Question*

I HAVE READ AND UNDERSTOOD THE PRIVACY POLICY **