Pet Health Assessment

Name: Paws & Claws Animal Hospital
Address: 2145 W Park Blvd, Plano, TX, 75075, United States
Telephone: 972-867-8800
Price range: $

Please complete this form before your visit.

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To better evaluate and address your pet's health, please take a moment to answer the following questions by selecting the most appropriate answer.

Owner's Name *

First

Last

Owner's Email *

Owner's Phone *

Owner's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Reason for your visit:

Pet's Name *

My pet is drinking water: *

More
Same
Less

My pet is eating food: *

More
Same
Less

My pet walks/gets up and down: *

Normally
With difficulty

My pet has: *

Normal feces
Loose feces
Blood in feces

My pet vomits: *

Yes
No

My pet has seizures/tremors/shakes: *

Yes
No

My pet has discharge from the eyes: *

Yes
No

My pet has discharge from the ears: *

Yes
No

My pet has discharge from the nose: *

Yes
No

My pet has discharge from the mouth: *

Yes
No

My pet has discharge from the anus: *

Yes
No

My pet has discharge from the genitals: *

Yes
No

My pet urinates: *

Normally
Larger amount
More frequently

My pet's skin/ears are: *

Normal
Itchy
Red
Smelly

My pet is: *

Mentally alert
Sluggish of senile

My pet has lumps, bumps, tumors, or warts that need to be evaluated: *

Yes
No

My pet: (Please check all that apply) *

Coughs
Sneezes
Wheezes
Snores Loudly

My pet's weight is: *

Normal
Increased
Decreased

My pet has possible flea/tick exposure (goes for walks/goes to the park or lake/goes to daycare/has been boarded recently): *

Yes
No

My pet takes monthly heartworm prevention regularly: *

Yes
No

All pets should take monthly heartworm prevention year-round in Texas to prevent this fatal disease.

My pet has bad breath or tartar on the teeth: *

Yes
No

My pet seems lethargic or sleeps more than usual: *

Yes
No

My pet has routine dental care: (Please check all that apply) *

My pet has had a professional dental cleaning (veterinarian performed) in the last 12 months: *

Yes
No

My pet is currently on the following medications:

If your pet is on medication, what medical conditions is your pet currently taking medications for?

My pet is up to date on vaccinations: *

Yes
No

My pet has had titer testing completed: *

Yes
No

My pet has completed the following in the last year: *

Radiographs (x-rays)
EKG
Bloodwork
Urinalysis

Message

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Location

2145 W Park Blvd
Plano, TX 75075

We are on the North West Corner of Park & Custer (Behind the Walgreens)

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Contact Us

P: 972-867-8800
E: pcahvettech@gmail.com

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Hours

Mon - Thurs: 8:00am - 5:00pm
Closed 1:00pm - 2:30pm
Fri: 8:00am - 12:00pm
Sat-Sun: Closed

Two Ways to Complete Your Forms

Below you will find some helpful forms to complete prior to your visit with us. You can complete your form online or bring these completed forms with you will help move the check-in process along more quickly.

Complete your forms online from any device.

New Client Form

Complete Online

Leptospirosis Consent Form

Complete Online

New Client Form

Complete Online

Download and complete your forms before you come in.

New Client Form

Download

Leptospirosis Consent Form

Download

Pet Assessment Form

Download

We proudly serve the pets of North Texas and beyond.

At Paws & Claws Animal and Hospital Holistic Pet Center, we provide a true all-natural holistic approach to pet care practicing functional medicine because your pet’s whole health deserves the very best.

Have a question?

Complete the form below and we'll be in touch with you shortly.

Book an Appointment Online!

Use our online apppointment booking system to book an appointment online in minutes. We look forward to seeing you soon!

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