Technician Appointment Form

Please complete this form before your appointment with a veterinary technician.

Veterinary Technician Appointment - PLEASE READ!
You have an upcoming appointment with one of our veterinary technicians. Your pet will NOT be seen by one of the veterinarians. Veterinary Technician appointments include: 1) Nail Trims, 2) Blood Pressure, 3) Obtaining prescribed Bloodwork (e.g., before an upcoming surgery), 4) Injections of prescribed medication, etc. If you have any health concerns that need to be addressed, please contact us to reschedule your visit to be with a Veterinarian instead, as it will NOT be possible to convert your tech appointment to a vet appointment once you are here. If you are unsure if you should be seeing a technician or a veterinarian, please contact us and we can advise you on the best plan for your pet. Once you complete all of the questions, be sure to click the SUBMIT button at the bottom of this form.
Your Name*
Your Pet's Name*
When is your pet's appointment (date & time)?*
What cell phone number can we call you at DURING your pet's appointment?*
Does your pet live with anyone that is self isolating, in quarantine, is coughing or has a fever?*
If yes, please arrange for someone outside your home to bring your pet in on your behalf, and call us right away if that is not possible, so that we can make a plan together. This is essential so that we can protect our team members and ensure that we can stay open to help pets in need.
What is the reason for your pet's visit?*
(Select all that apply)
Please provide additional detail about the purpose of your pet's visit.*
What is the reason for running bloodwork?*
- Upcoming Surgery
- Heartworm and Tick-borne Disease Screening
- Monitoring Chronic Health Concerns
What medication are we administering to your pet?*
If you do not know the name, please describe what it is being used for.
Do you give your pet any medications or supplements?*
- Yes
- No
Please list all medications and supplements you give your pet, and tell us when the last dose before your pet's appointment will be given.*
If your pet is on long term medication for issues like thyroid disease, diabetes, Cushing's, Addison's etc., it is very important that you let us know if you have missed any doses in the past 4 weeks, as in some cases this will make bloodwork results inaccurate, and could require them to be repeated again (at additional cost).
Will your pet be given calming medication for this visit?*
We require calming medication for Blood Pressure checks to get calm accurate readings. Some pets need calming medication to allow us to safely take blood samples or trim their nails. If we have prescribed or recommended calming medication for your pet in the past (or you feel it will be helpful), and you do not have a current prescription at home, be sure you contact us at least a week before your appointment so that we can discuss and/or prescribe and dispense medication.
- Yes
- No
- Not sure
Please provide the name of the calming medication that you will give (Gabapentin or Trazodone), and the timing and quantity of each dose.*
For example: Gabapentin: 100mg at 8 pm the night before, and 100mg at 8 am the morning of the appointment.
Do you need anything else while you are here today?
For example, do you have food or medication that has been ordered and is ready to pick up? Do you need to place an order for food or medication refill? Do you need to book any upcoming appointments? Please provide details below so we can be prepared and help you most efficiently!

Technician Appointment Form

Technician Appointment Form

Veterinary Technician Appointment - PLEASE READ!

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Technician Appointment Form

Technician Appointment Form

Veterinary Technician Appointment - PLEASE READ!

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