vancouver animal wellness hospital
healing as nature intended

homeopathy | nutrition | acupuncture | chiropractic | full-service surgery | physiotherapy/rehabilitation
hydrotherapy | behaviourist | conventional medicine | grief counselling | overnight monitoring available

sitemap

› about us

› what's new

› our services

› resources

› photo gallery

› testimonials

› contact us

› site map

› home

Update Form /
Phone Consultation

QUOTE of the DAY
"My little dog - a heartbeat at my feet."
-- Edith Wharton

› online update form

Attention Clients

Please note that there is a $15.00 fee to process this form. We will contact you to get your payment information prior to reviewing the update form.

For information on what to expect from homeopathic treatment visit our homeopathy page.

Name of animal:
Your Name:
Phone #:
Email:
Date:

1. What is your animal being treated for? (original complaint or symptoms):

2. Please give us DETAILS on how your animal has been doing since the last update or appointment. Tell us about any CHANGES you've noticed and when they occurred. Mention the good things you've noticed as well as any problems. Below are examples of things to look for.

The most concise information is best, so please, be brief. POINT FORM ONLY.

ENERGY (for example: playful, interested in their surroundings, quiet, sleepy or tired, nervous, excitable, ...)

ATTITUDE/TEMPERAMENT (with other animals, when company comes, with children, with you, ...)

BEHAVIOR (chewing, licking, grooming habits, shaking head, hiding, seeking warm or cool, wanting attention...)

MOBILITY (moving slower or faster than usual, jumping up, limping, favouring one leg or side of the body, ...)

SLEEPING (relaxed, restless, waking suddenly, snoring, ...)

APPETITE/THIRST (eating or drinking more or less, ...)

BOWEL MOVEMENTS (constipation, diarrhea, when, how often, colour and texture, with undigested food? ...)

VOMITING (when, how often, colour, bile, frothy, with undigested food, ...)

EYES (itchy, red, holding eye closed, discharge, colour of discharge, ...)

BREATHING/RESPIRATION (rapid, calm, sneezing, coughing, ...)

SKIN and EARS (hot or cool, redness, sores/spots, oozing, itchy, loss of fur/hair, holding head to one side, ...)

URINATION (how often - more or less than normal, any straining, quantity, colour, blood, any crying, ...)

3. Is there anything that aggravates or eases symptoms?

4. Has your animal ever before shown any of the behaviors or symptoms you've noted above? If so, which ones? And when specifically did you notice them before?

5. Please tell us about anything that is different in your animal's life since your last update or appointment. (changes to physical environment - (new bedding, carpets, paint), a new pet in the home, a new person in the animal's life, travelling, moving, illness, emotions/stress in the home, etc.)

(a) Any TREATMENT received from other clinics, vets, chiropractors, etc.

What treatment?

From whom?

When?

For what Problem(s)?

(b) What MEDICATIONS: drugs? creams? drops? (and when started?)

(c) SUPPLEMENTS Added?

When? (for each one)

SUPPLEMENTS Stopped?

When? (for each)

(d) Changes in food, treats? What and When?

6. What pleases you most about how your animal is doing now?

7. What concerns or fears or questions do you have now?

Do you need to book an appointment?
Yes No

THE INFORMATION GIVEN ON THIS UPDATE FORM IS STRICTLY CONFIDENTIAL

vancouver
animal
wellness
hospital

105 east broadway
vancouver, bc v5t 1w1
phone: 604.738.4664
fax: 604.738.4694

photo by Heidi Zutter

k9phodography.com
fine art pet photography

about us › our staff › location

what's new › press releases › in the news › articles › seminars › newsletter
our services › homeopathy › nutrition › recipes › conventional medicine › routine exams › in-house laboratory › x-rays › dental › spay/neuter › full service surgery › options before anesthetic › intensive care › emergency › overnight monitoring › physiotherapy/rehabilitation › hydrotherapy › acupuncture › chinese medicine › chiropractic › reiki › vaccinations › behaviourist › grief counselling
resources › photo gallery › testimonials › contact us › sitemap › home

vancouver animal wellness hospital
Michael Goldberg, DVM; Sue Hughson, DVM
105 e. broadway, vancouver, bc v5t 1w1 / phone: 604.738.4664 / fax: 604.738.4694
Hours of Operation: Monday, Thursday & Friday: 9am - 6pm, Tuesday & Wednesday: 9am - 7pm, Saturday: 9am - 5pm

homeopathy | nutrition | acupuncture | chiropractic | full-service surgery | physiotherapy/rehabilitation hydrotherapy | behaviourist | conventional medicine | grief counselling | overnight monitoring available

vancouver animal wellness hospital

homeopathy | nutrition | acupuncture | chiropractic | full-service surgery | physiotherapy/rehabilitation
hydrotherapy | behaviourist | conventional medicine | grief counselling | overnight monitoring available

vancouver
animal
wellness
hospital