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Vehicle make, model, and color? *
If other, what are we checking/re-checking today? *
How long has this issue been going on? *
If no, when did the first one occur? *
How frequent are the seizures? *
How long did the seizure last? *
Is there a specific event that triggered the seizure? *
If yes, what was your pet exposed to? *
If Other, Where? *
If Other, How Long? *
If Yes, Who Gave These Vaccines? *
If Yes, Who Gave These Deworming Treatments? *
If Yes, Please Explain *
How Much Time Will Your Puppy Spend Outside? *
How Much Time Will Your Kitten Spend Outside? *
If Yes, Please Explain *
If Other, Please Explain. *
If Yes, Please Explain *
How Long Has This Been Going On? *
How Often Does Your Pet Sneeze? *
If Yes, What Color is the Discharge? *
How Long Has This Been Going On? *
If Other, Please Describe. *
If Yes, What Does it Look Like? *
If Other, Please Explain *
How Long Has This Been Going On? *
How Many Times Has He/She Vomited? *
If Other, Please Explain *
How Long After Eating or Drinking? *
If Other, Please Explain. *
If Other, Please Explain. *
How Much Blood Was Observed (Teaspoon, Tablespoon etc.)? *
What Was the Color of the Blood (Dark or Light)? *
Is the Blood Mixed Into the Vomit, Or Does it Present at the End of Vomiting? *
If Yes, What Was Ingested? *
If Yes, How Much Water? *
If Yes, What Came Up with the Vomit? *
How Long Has the Diarrhea Been Occurring? *
How Many Times Has Your Pet Had Diarrhea During That Time? *
If Other, Please Explain. *
If Other, Please Explain. *
When Was the Last Bowel Movement? *
If Yes, In Which Area? *
What Color is the Discharge? *
How Long Has This Issue Been Going On? *
If Yes, Please Explain *
If Yes, Please Explain. *
What Does the Discharge Look Like? *
When Did You First Notice The Problem? *
If Yes, Were There Any Medications That Seemed to Help? Anything That Didn't Help? *
If Yes, Which One(s)? *
When Did You First Notice the Problem? *
How Frequently is Your Pet Itching? *
If Other, Please Explain *
What Brand Food Does Your Pet Currently Eat? *
If Other, Please Explain *
How Many Times a Day Do You Feed Your Pet? *
What Treats Do You Feed Your Pet? *
If Yes, Please List By Name & Dosage *
If Other, Which Preventatives Do You Need? *
Any Additional Notes for the Doctor?