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Hours & Contact
Monday - Friday: 8:00am - 6:00pm
Saturday: 8:00am - 1:00pm
Phone or Text:
(770) 501-3464
[email protected]
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Day Admission Form
Pet’s Name
Owner’s Name
Email Address
PHONE NUMBER(S) where you can be reached today
Do you have a preference* of doctors
We cannot guarantee which doctor will be available to see your pet, but we will do our best to honor your request based on staffing/schedule
Drop-off time:
before 12:00 (should be ready by 3:00)
after 12:00 (should be ready by 6:00)
Please provide us with a brief history of your pet’s symptoms:
For how long (# of days, weeks, etc.)
Is the problem:
Better
Worse
Unchanged
Frequency:
Diagnostics: Are you ok with us doing diagnostics if necessary (blood work, x-rays, etc.)?
Yes
No
Call First
Primary Complaints
Vomiting
Yellow
White
Red
Food
Bile
Foreign objects (bones, toys, etc)
Other
Urination
Increased frequency
Decreased frequency
Yellow
Red
Straining
Accidents
Urgency
Diarrhea
Increased frequency
Decreased frequency
Soft
Watery
Mucous
Black
Bloody
Discharge
watery
mucous
red
green
yellow
clear
Source
Cough
dry
day
night
constant
worse
with exercise
Frequency
Lameness
worse with exercise
better with exercise
Which leg
Skin
itching
rash
licking
Area
Please check any service(s) you would like done while your pet is here:
Annual Check-up (Exam, Vaccines & Lab Work)
Bordetella (Kennel Cough Vaccine)
Influenza Vacc
LeptoVacc
Bath
Nail Trim
Nail Dremel
Microchip
Express Anal Glands
Ear flush
Other
Please list any medicines (over the counter or prescribed) your pet has received within the last two weeks:
Do you need any medication refills while your pet is here (heartworm preventative, flea preventative, NSAID, etc)?
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