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Dr. Love Holistic Pet Vet

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Wild Horses

Patient Info and History

Patient Info

Owner's Name

Pet's Name

Pet Breed

Pet Age

Pet Gender

Spayed / Nuetered?

Yes

No

Current Medications

Current Supplements/Herbs

Allergies/Response:

Main Health Concern?

When did symptoms start?

What makes symptoms better?

When do symptoms occur?

What makes symptoms worse?

Patient History

Pet Diet

Appetite

Is your pet vomiting?

Stool

Thirst

Urine

Temperature Preference

Energy Level

Describe your pet's behavior

Sleep

Coughing

Respiration

Exercise Levels

Pain/Stiffness

Massage Likes/Dislikes

List foods including treats

Comments

How long after eating?

Comments

Comments

Comments

Comments

Comments

Comments

Where does you pet sleep?

Comments

Comments

Comments

Comments

Comments

General Medical Issues

Select all that apply:

General respiratory issues

Asthma

Sinusitis

Nose problems

Sneezing

Nasal discarge

Weak voice

Cardiovascular issues

Heart problems

Restlessness

Tachycardia

Liver issues

Problems with liver

Neurological

Seizures

Tremors

Paralysis/Paresis

Other

Tissue/Bone issues

Ligament issues

Arthritis

Bone or growth issues

Weak in rear end

Previous surgery or fractures

Other

Eyes

Ears

Deafness

Teeth

Nails

Footpads

Dry Skin

Any other pertinent symptoms, signs or tendencies you would like to share?

Thanks for submitting!

DR. LOVE HOLISTIC PET VET

Provides online remote services across

North America via Zoom Video Conference.

REMOTE AVAILABILITY:

Mon. - Wed. | 9:30 AM - 5:00 PM, PST

CONTACT:

info@drloveholisticpetvet.com

SCHEDULE APPOINTMENT

"Pets bring so much joy into our lives choosing to be loved!"

Dr. Carolyn Love, DVM, CVA

Disclaimer: Holistic Pet Services: Dr. Love Holistic Pet Vet services complement regular veterinary care. While not a substitute, Dr. Carolyn Love focuses on holistic health, disease prevention, and natural management. Pet responses may vary. For personalized guidance, consult a veterinarian alongside our offerings.

COPYRIGHT 2023 DR. LOVE HOLISTIC PET VET

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