Annual Dog Health Form

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My dog spends most of their time:
Have you seen wildlife (raccoons, opossums, rats, mice, foxes, or skunks) anywhere your dog spends time outdoors?
My dog comes into contact with other dogs....
My dog comes into contact with children?
Is your dog experiencing any of the following?
Do you feed your dog at set feeding times
Describe your dog's weight best...
Which best describes your dog's breath? (please choose one)
Which best describes your dog's water consumption?
Please check any of the conditions that your dog has experienced in the last year. (Check all that applies)
Have you noticed any changes in your dog’s activity level?
Does your dog have difficulty with any of the following? (check all that apply):
Have you noticed any limping or favoring of a leg?
When is your dog most stiff or uncomfortable?
How does your dog walk or move?
Has your dog shown any hesitation or reluctance to do things they used to enjoy?
Does your dog show any signs of pain when touched or handled?
Have you noticed any of the following? (check all that apply):
Any recent injuries or known trauma?
Overall, how would you rate your dog’s mobility?
Are you using the prevention year round?
Is your dog currently taking any medications, other than ones dispensed from our hospital?
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