Acupuncture Pet Personality & Clinical Signs Form Bottletree Animal Hospital Acupuncture Pet Personality & Clinical Signs Acupuncture Pet Personality & Clinical Signs We are so excited to see you and your pet at Bottletree Animal Hospital! We ask that you complete this history form prior to your appointment time. This will help us provide the most thorough care for your pet. You may save your input and return to the form later if necessary. This form was obtained from the Chi Institute of Chinese Medicine - https://chiu.edu/resources/downloads Name of Client * Name of Client First First Last Last Email * Have we seen your pet(s) at Bottletree Animal Hospital before? * Yes No Maybe Name of Pet * Sex of Pet * Male - Intact/Not Fixed Male - Fixed/Neutered Female - Intact/Not Fixed Female - Fixed/Spayed Unknown Species * Feline Canine OtherOther Age * Current Medications & Supplements * Current Diet & Treats * Major Medical Concerns/Complaints If you are human, leave this field blank. Next
