Southside Animal Clinic London, Ontario
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    • New Client Registration Form
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    • Team
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    • Medical Services
    • Surgical Services
    • Additional Services
    • Wellness and Vaccination Programs
    • Anesthesia and Patient Monitoring
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Southside Animal Clinic London, Ontario

Curbside Care: Medical History Form

During the COVID-19 Pandemic, our practice is moving to “curbside care” to limit physical contact and adhere to social distancing recommendations. These new procedures help to limit exposure, not only to pet owners, but also to our veterinary team.

Please call the office to schedule an appointment for your pet.

In order for your veterinary healthcare team to provide comprehensive care for your pet, please fill in this form and return via email prior to your visit.
  • dd/mm/yyyy
  • Owner's Name

  • Pet Information

  • Pet Health - Reason for Visit

  • Days/Weeks/Months
  • food/treats
  • poor/good/excellent
  • name/dose/last given
  • lethargic/normal/hyperactive
  • increased/normal/decreased
  • increased/normal/decreased
  • normal/abnormal

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  • New Clients
    • New Client Registration Form
    • What to Expect
    • Take A Tour
  • About Us
    • Our Hospital
    • Contact us
    • Team
    • FAQs
    • Prescription Refill and Food Order Request Form
  • Services
    • Medical Services
    • Surgical Services
    • Additional Services
    • Wellness and Vaccination Programs
    • Anesthesia and Patient Monitoring
    • Nutritional Counseling
    • Pet Supplies
    • Fit for Life Program
    • Emergency and/or Extended Care
  • Pet Health
    • How-To Videos
    • Educational Articles
    • Pet Health Checker
    • News
    • FAQs
  • Links
  • Shopping
  • Memorials
    • Memorial Submission