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
Please list concerns for the appointment:*
Has your pet had any vomiting recently?*
- Yes
- No
Has your pet had any diarrhea recently?*
- Yes
- No
Has your pet had any changes in the passing of urine or stool recently?*
- Yes
- No
Has your pet had any changes in thirst or drinking recently?*
- Yes
- No
Does your pet have a new or worsening cough?*
- Yes
- No
Does your pet have new or increased sneezing?*
- Yes
- No
Does your pet have any new or increased itching/scratching?*
- Yes
- No
Has your pet had any changes to their eating recently?*
- Yes
- No
Has your pet experienced a seizure?*
- Yes
- No
Does your pet have any new lumps or bumps?*
- Yes
- No
Symptoms Explaination: If you answered yes to any of the above questions please provide a brief description of what your pet has experienced.
Please list your pets regular diet and also what types of treats they receive daily.*
Medication/Supplements: Is your pet currently taking any medication/supplements? If so please list the name of the product, how much is given and how frequently?
Please describe your pets typical environment(indoors only, fenced yard, etc) and daily activities.*
Does your pet visiting the boarding kennel, doggy daycare, dog groomer or dog park?*
- Yes
- No
- Not applicable
Does your dog spend any time on trails, wooded areas, places with long grass?*
- Yes
- No
- Not applicable
Does your cat go outdoors unsupervised or hunt?*
- Yes
- No
- Not applicable
Does your pet travel outside of the city?*
- Yes
- No
Does your pet go swimming?*
- Yes
- No
- No, but pet does get baths
Do you have any leftover Flea/Tick/Heartworm prevention from last season?*
- Yes
- No
Are you wanting to pick up Flea/Tick/Heartworm prevention during your appointment?*
- Yes
- No
Do you have any other pets in the house/environment?*
- Yes
- No
If you answered yes to the above question please list all of the other pets (name/species) in the house below.
Is your pet reactive to other animals?*
- Yes
- No
If you answered yes to the above question please briefly explain what their reactivity is and if there are any special considerations/accommodations that need to be made for your appointment. Example (Doesn’t like men, not good around other dogs, very nervous for handling, previously required muzzle or calming medications)
Do you have any questions/concerns that you would like the team to be aware of prior to your appointment? (Example previous injuries)

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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