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(727) 592-1816petcare@communityanimalhospitals.com 5895 54TH AVE N, St. Petersburg, FL 33709

Community Animal Hospitals of St. Petersburg, FLorida

St. Pete Vet | Vet in St. Petersburg

Pet Check-In Form
- Appointment Request Form
About Us
Services
- Emergency Pet Care
- Vaccination Appointment
Contact

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Pet Check-In Form
- Appointment Request Form
About Us
Services
- Emergency Pet Care
- Vaccination Appointment
Contact

Pet Check-In Form

Use this form if you already have an appointment.
If you NEED TO MAKE AN APPOINTMENT, click here.

APPOINTMENT CHECK IN

Please complete and submit this form BEFORE your appointment time, to ensure our staff is ready when your pet arrives.

I prefer to:*
Medical Patients: Please plan to drop off all medical patients and pick up later. Wellness Patients (Vaccinations Heartworm test etc.): We prefer that you wait on your patient, so please confirm with receptionist or technician if drop off is necessary.
- Drop off
- Wait in Car
If we have questions for you, is TEXT OK?*
- YES
- NO
Best Mobile Phone Number for Text
Your Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Primary Email*
Mobile Phone*
Pet Name*
Species*
Breed*
Color*
Age*
Gender / Fixed*
Current diet, amount fed, & frequency*
Last Veterinary Visit*
MM slash DD slash YYYY
Rabies Vaccine Current?*
- YES
- NO
- NOT SURE
Pet have known allergies? Please list, or state "N/A".*
Eating normally?*
- YES
- NO
- NOT SURE
Drinking normally?*
- YES
- NO
- NOT SURE
Coughing?*
- YES
- NO
- NOT SURE
Sneezing?*
- YES
- NO
- NOT SURE
Currently on Heartworm Preventative?
- YES
- NO
- NOT SURE
If "YES" to Heartworm, which brand?
Currently on Flea / Tick Preventative?
- YES
- NO
- NOT SURE
If "YES" to Flea / Tick, which brand?
Other current meds.
Why Am I Here Today?
- Arthritis (or showing signs of arthritis)
Please check all that apply.
- Lagging behind on walks
- Licking of the affected joint(s)
- Limping / lameness
- Pain or stiffness when getting up or down
- Personality change (aggression when normally good-natured)
- Reluctance to walk, climb stairs, jump or play.
- Yelping when touched
- Bladder / Urinary Tract
Please check all that apply.
- Bloody urination
- Crying out or whining while urinating
- Inappropriate urination (accidents in the house)
- Increased frequency of urination
- Licking genitals
- Offensive (strong) odor in urine
- painful urination
- Straining to urinate
- Urgency of urination
- Urine dribbling
- Dental Disease
Please check all that apply.
- Bad breath
- Bleeding or red gums
- Blood in water bowl or on chew toys
- Bloody saliva
- Bumps or lumps in the mouth
- Drooling
- Loose teeth
- Painful
- Problem picking up food
- Refusing to eat
- Yellow-brown tarter on teeth
- Digestive Problems
Please check all that apply.
- Blood or mucus in the stool
- Constipation
- Diarrhea
- Excess gas or flatulance
- Loss of appetite
- Painful stomach area
- Straining when passing stools
- Vomiting
- Ear
Please check all that apply.
- Crusting or scabs in ear
- Dark discharge from ear
- Head shaking
- Infection
- Itchiness
- Odor
- Painful ear
- Redness in the ear canal
- Scratching at the affected ear
- Swollen ear flap (HEMATOMA)
- Eye
Please check all that apply.
- Dilated pupils
- Excessive blinking
- Excessive tearing
- Eye bulging
- Eye cloudiness
- Eye inflammation
- Eye irritation
- Eye pain
- Eye redness
- Gooey eye discharge
- Inflammation around eye
- Lump on eyelid
- Pawing at the eyes
- Squinting
- Prescription Refill
Tell us what you need
- Skin Disease
Please check all that apply.
- Allergy
- Allergic dermatitis
- Bumps / Lumps
- Hair loss
- Hot spots
- Infection
- Itching
- Masses / tumors
- Skin, painful to the touch
- Weight Change
Change in weight?
- Vaccinations
Check applicable age.
- Adult Dog (1-yr or older)
- Puppy (select age range below)
- Adult Cat (1-yr or older)
- Kitten (select age range below)
Puppy Age (weeks)
How old is your puppy? (weeks)
Kitten Age (weeks)
How old is your kitten? (weeks)
- Heartworm Test
- Heartworm Preventative
- Flea / Tick Preventative
- Other, Not Listed
Other important issues to discuss today:
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Medical Record Upload

If necessary, please upload your pet's medical records.

Pet's Name
First Last
Medical Record Upload
Please upload any necessary files. File types accepted are JPG and PDF. Phone camera photo is acceptable.
Drop files here or

Accepted file types: jpg, pdf, Max. file size: 4 MB, Max. files: 6.
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