Pre-Visit Form Client Name First Last Pet's Name Who is your preferred Doctor:Please ChooseDr. WoodwardDr. GreeneDr. LeeDr. TempleDr. VanceDr. LindelofNo PreferencePet's Health and History:Any Known Allergies or Sensitivities: Do you buy anything for your pet onlinePlease ChooseYesNoIf yes, what type of health products do you buy? (name/specific brands)? Diet & NutritionWhat brand and flavor of pet food does your pet currently eat (including specific product name)? Feeding Schedule (e.g., how many times a day, portion size): Any recent changes in your pet's appetite or diet? What else do feed your pet besides their food? Preventative CareIs your pet on heartworm prevention medication?Please ChooseYesNoIf yes, what is the name of the product you use? Where do you buy this product? Is your pet on flea/tick prevention medication?Please ChooseYesNoIf yes, what is the name of the product you use? Where do you buy this product? Additional QuestionsDescribe your pet's daily exercise routine (e.g., walks, playtime, activities, if any).Have you noticed any changes in your pet's behavior, such as increased lethargy, aggression, or anxiety? Are there any specific concerns or issues you'd like to discuss during the well-check? What additional services would you like during your visit:Please choose:ear cleaningnail trimanal glandsnoneWhat is your preferred method of communication?PhoneEmailTextProvide your Phone or Email Adress based on your preferred method of communication: Payment Policy(Required) I have read and under stand the following payment policy: payment for all charges is due at time of service. We do not provide payment plans. We only accept checks up to the amount of $500. When using a credit card as form of payment you will be charged a 3% fee. We accept cash payment along with cashier checks so as not incur this fee. We only used stored credit cards for monthly preventative care plan payments. We also accept care credit.