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503-635-3573
Online Pharmacy
hours
location
RX
COVID-19 Updates
Today:
7:30 AM - 5:30 PM
Open Hours
503-635-3573
Phone Number
433 Third St.
Lake Oswego, OR, 97034
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Paws & Read
Pet Corner
New Patient Form
Pet Health Records
Request a Refill
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Wellness Plans
Canine Behavior Form
Feline Behavior Form
New Puppy Manual
Pro Plan Vet Direct
Cancellation Policy
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today:2023-03-30
UPDATE: Please view our updated cancellation policy -
here
.
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Patient History Form
Fill out the fields below to share your pet’s history.
Your Name
*
Your Phone
*
Your Email
*
Patient Name
*
Appointment Date
*
Appointment Time
*
Primary Reason For Appointment
*
Patient Energy Level
*
Decreased
Normal
Increased
Is this patient on heartworm prevention?
*
Yes
No
Unsure
Please list all medications and if you need refills.
*
What type of brand food does your pet eat?
Patient Skin Health
*
Normal
Itchy
Has Rash
Losing Hair
Has Odor
Other
Patient Appetite
*
Decreased
Normal
Increased
Patient Water Intake
*
Decreased
Normal
Increased
Is the patient coughing?
*
Yes
No
Unsure
Is the patient sneezing?
*
Yes
No
Unsure
Is the patient vomiting?
*
Yes
No
Unsure
Does the patient have diarrhea?
*
Yes
No
Unsure
Patient Urination
Decreased
Normal
Increased
Dark
Blood Present
Cloudy
Strong/Foul Odor
Straining to urinate
Other
Any other patient history we should be aware of?
Any other patient information the vet should be aware of?
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