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.
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