Please enable JavaScript in your browser to complete this form.LayoutName *FirstLastPhoneEmail *Pet's nameAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCushing's Clinical Score - RVC Royal Veterinary CollegeDrinking - compared to before the onset of Cushing's DiseaseNormal - Drinks the same amount or less - 0Mild - Some increase in drinking - 1Moderate - Notable increase in drinking - 2Severe - Constantly seems to be drinking - 3Urination - compared to before the onset of Cushing's DiseaseNormal - Urinates the same amount or less - 0Mild - Some increase in urination - 1Moderate - Notable increase in urination - 2Severe - Constantly needs to be let out to urinate - 3Appetite - compared to before the onset of Cushing's DiseaseNormal - Appetite is the same or less - 0Mild - Finishes food more eagerly - 1Moderate - Finishes food more eagerly and then begs for more - 2Severe - More obsessed with food more than ever - 3Appearance - compared to before the onset of Cushing's DiseaseNormal - Appearance is the same - 0Mild - Slightly poor hair and skin quality - 1Moderate - Poor hair and skin quality with some hair loss and/or some muscle loss/pot belly - 2Severe - Substantial hair loss and/or noticable muscle loss/pot belly - 3Attitude/Activity - compared to before the onset of Cushing's DiseaseNormal - Attitude/Activity is the same - 0Mild - Not quite themselves - 1Moderate - Quiter and less active and/or panting more than normal - 2Severe - Very quiet, dull and weak and/or noticeable increase in panting - 3Total score from the above sectionsSubmit
