Thank you for giving the team at Livermore Family Pet Hospital the opportunity to care for your animal companion. To help make check-in faster, please complete the following Patient History Form at least two days prior to your pet’s appointment.

Patient History

Please share your observations of your pet's condition below

My pet's problem is
My pet's appetite has

What is your pet's travel history?

Does your pet have any exposure to non housemate pets, or outdoor areas (parks, camping, catio, etc.)?
Patient Symptoms
Please indicate if your pet currently has any of the following symptoms.
Coughing
Sneezing
Weight loss
Excessive Water Consumption
Excessive Urination
Vomiting
Diarrhea
Does Your Pet Have a Microchip
Is Your Pet Current on Parasite Control?
If yes, check all that apply:
Does Your Pet Receive Regular Dental Care?
If so, What (check all that apply)?
Does Your Pet Have Any Vaccines Due (check all that apply)?
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