Vancouver
Surrey

Initial Questionnaire — Feline

A full dermatologic and general history for cats, so our team arrives at your appointment already familiar with the case.

A. Systemic (general) history

B. Dermatologic symptoms

Feline itch scale — find the picture and description that best match your cat today, then enter that number above.
Feline pruritus visual analog scale, 0 (normal cat) to 10 (extremely severe itching)

C. Environment

How much time does your pet spend indoors versus outdoors, and what is the flooring in your home?

D. Treatment history

Please list everything your pet has been on during the past 12 months, including anything bought without a visit to the vet.

Not sure which form you need?

Call the clinic Monday to Friday, 8:00am to 4:30pm and we will point you to the right one.

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