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Activity level normal? (required)
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Eating and drinking normally? (required)
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Did he/she eat today? (required)
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If so, what time?
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What brand of food has he/she been eating at home? (required)
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How much food is he/she eating? (required)
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Does he/she receive any treats? (required)
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If so, what kind?
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Any vomiting? (required)
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If so, how often? Duration? How long after eating? What does the vomit look like?
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Any diarrhea or constipation? (required)
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If so, how often? Duration? Appearance of stool (if abnormal)? Is there blood in it?
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Any coughing? (required)
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If so, how many times per day? Duration? Cough anything up?
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Any sneezing? (required)
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Any changes in mobility? (required)
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If so, please describe.
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Urinating normally? (required)
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If not, what is abnormal? Any accidents in the house?
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Any scratching? (required)
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If so, on a scale of 1-10 with 10 being unbearably itchy, how itchy?
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Any fur loss noted? (required)
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What medications is he or she receiving and how often? (required)
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Were any given this morning? If so, which ones and at what times? (required)
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Is your pet receiving heartworm preventative? (required)
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If so, what kind?
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Is your pet receiving flea and/or tick preventative? (required)
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If so, what kind?
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Any other concerns we should know about?
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Processing ....