Get Ne Sirius Veterinary Orthopedic Center New Patient Medical History Questionnaire

Completing the NE Sirius Veterinary Orthopedic Center New Patient Medical History Questionnaire is an essential step in ensuring your pet receives the best possible care. This guide will provide a clear, step-by-step approach to filling out the form online, tailored to your needs as a pet owner.

Follow the steps to complete your pet's medical history questionnaire online.

1. Press the ‘Get Form’ button to access the questionnaire and open it for editing.
2. Begin by entering your pet's name and the current date at the top of the form.
3. Address your primary concern regarding your pet's health today in the designated space.
4. Indicate whether your pet is current on vaccinations by selecting 'Yes' or 'No'.
5. Specify if food was withheld for today's visit and note the last feeding time and the type of food your pet consumes.
6. Report any noticeable lumps or bumps on your pet, clarifying their locations if applicable.
7. Answer whether there has been a recent change in your pet's behavior and provide details if you answered 'Yes'.
8. Indicate if your pet has a history of medical conditions or surgeries, along with dates and details.
9. State if your pet is experiencing any pain.
10. Report if your pet has been hospitalized recently, including when and where.
11. Detail any recent changes in your pet's activity level, noting whether it has increased or decreased.
12. Note if your pet's appetite has changed, indicating whether it has increased, decreased, or if they are not eating.
13. Indicate any recent changes in your pet's weight.
14. Report changes in your pet's water intake, including if it has increased or decreased.
15. Address any vomiting episodes, specifying frequency if applicable.
16. Detail any changes in your pet's defecation patterns, including any concerning symptoms.
17. Discuss any changes in urination habits your pet may have experienced.
18. Indicate how long you have owned your pet.
19. Provide information on where your pet was obtained.
20. State if your pet has traveled out of Nebraska in the last five years.
21. If your pet is on any medications, provide details about each medication, including name, strength, dosage, frequency, and the last time given.
22. Finally, review your entries for accuracy and completeness before saving, downloading, printing, or sharing the completed form.

Complete your pet's questionnaire online for comprehensive care!