Name: Huron East Animal Hospital
Address: A4-1606 Battler Rd, Kitchener, ON, N2R 0C9, CA
Telephone: (519) 895-8883
Price range: $$

Name*
First Last
Phone*
Pet's Name*
Name
Have they been spayed/neutered?*
- Yes
- No
Please list concerns for the appointment:*
Have you done any home remedies or treatments for your concerns? If so, please list what and how often you've done this.
Is your pet on any medication or supplements?*
- Yes
- No
If you answered yes to the above questions please list what medication/supplements your pet is currently on and how often they are receiving them
Are you feeding the following daily:*
- Timothy or Alfalfa Hay
- Pellets
- Fresh Veggies
- Fresh Fruits
- Not Applicable
Please list type and how much of pellets, what fresh vegetables and/or fresh fruit are you feeding, how much hay are you offering daily:*
Is your pet having difficulty eating?*
- Yes
- No
When did you notice your pet eating last?*
How do you offer fresh water?*
- Hanging Bottle
- Dish
Has your pet had any soft or loose stools*
- Yes
- No
Has your pet been passing urine and stool normally?*
- Yes
- No
If you checked No, please describe what is abnormal with how they are passing their urine and stool.
What does your enclosure set up look like?*
What are you using for bedding?*
Is your pet litter trained?*
- Yes
- No
If yes, what type of litter do you use?
How often are you cleaning the enclosure?*
Is your pet housed alone or with a friend?*
- Yes
- No
If yes, how many friends do they live with and what are their genders?*
Is your pet living indoors or outdoors?
- Inside
- Outside
Where in the house is your enclosure located?*
Do you offer any enrichment toys, items, things to chew?*
- Yes
- No
Does your pet spend any time outside of their enclosure?
- Yes
- No
Does your pet spend any time outdoors with or without supervision?*
- Yes
- No
Have you noticed a change in how your pet has been breathing?*
- Yes
- No
Has your pet had any previous injuries or medical concerns that we should be aware of?*
- Yes
- No
If you answered yes to the above question please share what these are below.
Do you have any other concerns that our staff should be aware of prior to the appointment?

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Address

A4-1606 Battler Rd
Kitchener, Ontario N2R 0C9

Get Directions

Contact

Phone: (519) 895-8883
Fax: (519)-895-8886
info@huroneastanimalhospital.com

Hours

Monday-Fri: 8:00 am – 6:00 pm
Saturday: 8:00 am – 5:00 pm
Sunday: Closed

We Accept ScratchPay