Sick Pet Information

Owners Name*
First Last
Patient Name*
First Last
Phone Number
Who will be here with the appointment today?*
What is the best number to reach you/them at today?*
How is your pet doing today? Can you describe what has been going on?*
How long have you noticed this problem?
Any significant prior health concerns or illnesses?
Is there anything they could have gotten into at home? (Garbage, toys etc.) Ever off leash or left unsupervised?
Has there been any vomiting (hairballs for feline)? ...If yes: Is the food digested? Was there retching (regurg vs. vomit)?; frequency and consistency; have you recently changed their diet?
Any diarrhea? If yes: how often are they having diarrhea; is there any blood or mucus in the stool; have you recently changed their diet?
Any coughing or sneezing? If yes: When were concerns first noted? How frequent/day?
Any itching/scratching, lumps/bumps? If yes: When was this noticed and describe size/location/appearance.
Have you noticed any changes in their activity level (bright, lethargic, etc.)?
Any mobility concerns- limping, slowing down, troubles getting up or down, etc?
How is their appetite recently? Any changes to diets? Any changes to the way they are eating (slower, quicker, more picky, etc.)?
Any changes to water intake?
Have there been any changes in the household? (New house, new pets or people, loud noises etc.)
Is your pet up to date on vaccinations?
Is your pet currently on a heartworm/Flea and Tick program? Where do you travel with your pet? Do you walk on trails vs sidewalk?
Is your pet currently on a Deworming Program? Is your pet exposed to Wildlife or Other animals?
What medications or supplements are they given at home? (Supplements on their food, parasite prevention, essential oils in the home etc.)
DOGS: How often is your pet around other dogs? Have they recently been boarded or around other/new pets (dog parks, doggy daycare etc.)?
Has your pet been travelling outside of Grey-Bruce?
If your pet is an unspayed female, when was her last heat cycle?
Are there any other concerns/problems for the doctor to address?
What are your Goals for today’s appointment?

Have a Question?

Connect with us and one of our team members will be happy to assist you.

Hanover Veterinary Hospital

Walkerton-Hanover Veterinary Clinic

101 18th Ave.
Hanover, Ontario, N4N 0B8

Phone: 519-364-6772

Fax: 519-364-7176

Email: hanovervethosp@whvc.ca

Monday 8:30am – 5:30pm
Tuesday 8:30am – 5:30pm
Wednesday 8:30am – 5:30pm
Thursday 8:30am – 5:30pm
Friday 8:30am – 5:30pm
Saturday 9:00am – 1:00pm
Sunday Closed

After Hours Emergency: 519-364-6772

Boarding pick up/drop off for Sundays or holidays 9:00 am or 6:30 pm.

8 Brant Sideroad 20
Walkerton, Ontario, N0G 2V0

Phone: 519-881-2090

Fax: 519-881-0108

Email: walkhanvetclinic@whvc.ca

Monday 8:00am – 5:00pm
Tuesday 8:00am – 5:00pm
Wednesday 8:00am – 5:00pm
Thursday 8:00am – 5:00pm
Friday 8:00am – 5:00pm
Saturday 8:00am – 1:00pm
Sunday Closed

After Hours Emergency: 519-881-2090

Boarding pick up/drop off for Sundays or holidays 8:00 am or 5:30 pm.