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Home
About
Meet the Team
Our Doctors
Our Office Team
Our Care Team
The Basics
FAQs
Testimonials
Virtual Tour
The WAAC Difference
Mission & Values
Why Choose Us
Services
Wellness Care
Puppy and Kitten Care
Wellness Exams
Dentistry
Senior Pet Care
Preventive Care
Microchipping
Nutritional Counseling
Parasite Control
Vaccines
Diagnostics & Treatment
Digital X-Rays for Pets
In-House Diagnostic Laboratory
Laser Therapy
Surgery
Other Services
Emergency Care
Pet Boarding
Pet Grooming
International Travel Certificates
Pet Parents
Request an Appointment
Payment Options
Online Forms
Download Our App
Pet Safety
Education
We’re Hiring!
Pet Lifestyle Questionnaire
Your Information
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Do you have children or immunocompromised people in your household?
(Required)
Yes
No
Pet Information
Pet's Name
(Required)
Is your pet microchipped?
(Required)
Yes
No
Would you like to have your pet microchipped during their appointment?
(Required)
Yes
No
Do you give monthly heartworm preventative?
(Required)
Yes
No
Brand
When did you give the last dose?
Is it easy to give?
Yes
No
Do you give monthly flea preventive?
(Required)
Yes
No
Brand
When did you give the last dose?
Is it easy to give?
Yes
No
Where do you purchase your preventatives?
Is your pet on any other medications:
(Required)
Any questions concerning your dog's lifestyle or vaccine schedule?
Does your pet spend any of their time:
(Required)
At the Groomer
At Day Care
Playing with Children
Traveling
At Dog Parks
At Cat/Dog Shows
Hunting
(Select all that apply)
Your pet's diet consists of:
(Required)
Commercial Pet Food
Home-Cooked Meals
Some Table Food
Other
Brand of food/example diet/treats:
When my pet goes to the vet, they're:
Eager and excited
Reluctant
Subdued
Terrified
At the clinic, my pet doesn't like:
Getting weighed
Getting on the exam table
Having their temperature taken
Being handled by the staff
Being around other animals
My pet prefers:
Female veterinary professionals
Male veterinary professionals
Anyone who is nice and gives treats
No one
What type of treats or toys does your pet love more than anything else?
CAPTCHA
84189
