Code for gated community
AGE BREED SEX COLOR WEIGHT
SPAYED OR NEUTERED
WHAT IS THE PROBLEM AND WHEN DID IT START?
ANY CHANGES TO EATING/DRINKING/URINATION/DEFICATION?
WHAT QUANTITY OF FOOD DOES YOUR PET EAT DAILY, AND WHAT BRAND?
CHECK ALL THE APPROPRIATE CHOICES
DOES YOUR PET HAVE ANY MEDICAL PROBLEMS.
Please fax any medical records you have to 18883106374 or email to email@example.com
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