Current Patients

Please fill out the form below prior to your appointment. By doing so, Dr. Gillis has time to review it beforehand.

Owner's Name

First Name

Last Name

Appointment Date

YYYY

Animal's Name

First Name

Last Name

Animal's Age

Animal's Sex

Animal's Sport/Activity/Job

What treatments, if any, has your animal received since we last saw it?

Please include dates and any notable details from bodyworkers, other vets, etc.

What supplements or medications is your animal currently on?

Please describe your animal's current exercise schedule.

Please include length of time spent at each gait (walk, trot, canter, etc), how many times per day, and how many days per week.

What has your animal's confinement been like since we saw it last?

Horses : stall, med pen, paddock? Please include dimensions and amount of time spent in each. Dogs: crate, ex-pen, room, house? Please include dimensions and amount of time spent in each.

Is there anything that you'd like to add or discuss with Dr. Gillis during your appointment?