Wellness Consultation Review
Please take a moment to answer the following questions prior to your scheduled appointment so that we may partner with you in optimizing your pet's health.  
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Email *
Your First and Last Name
Pet's Name
Nutrition
We will make a nutritional assessment and recommendation based on our examination.
What brand of food are you currently feeding ?
According to the AAFCO Statement (Nutritional Adequacy) on the bag, what is the diet considered?
Example:  Animal Feeding Tests using AAFCO procedures substantiate that "X Brand Food" provides complete and balanced nutrition for "growth/maintenance/all life stages"
Growth
Maintenance
All Life Stages
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Disease Prevention
We believe that vaccination should be individualized based on the risk and lifestyle of the patient.
Risk Factors
My Pet has NO contact with other animals
My Pet has OCCASSIONAL contact with other animals (groomed, walks, etc)
My Pet has FREQUENT contact with other animals (dog parks, boarding, travel, etc)
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Do you have any other questions regarding Disease Prevention?
Parasite Control
Will your pet leave Central Oregon at least once this next year?
Yes
No
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What product(s) are you currently administering for internal and external parasite control?
Interceptor Plus (dogs)
Bravecto (flea/tick)
Profender (cats)
Frontline (flea/tick)
Pyrantel
Choose all that apply
How frequently are you administering the product(s)
Monthly
Quarterly
Yearly
Other
Choose all that apply
Do you have any other questions regarding Parasite Control?
Behavior
Is your pet currently exhibiting behavioral problems?
Fears/Anxieties, Aggression or Manners problems
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