"Golden Paws"

                                                             Canine Senior Care Health Checklist

                                                               Horseshoe Lake Animal Hospital

                                                                   5230 Horseshoe Lake Road

                                                                        Collinsville, IL  62234

                                                                             618-344-7949

 

Although  you rely on us to be the "experts", you are the one who cares for your dog - day in and day out - and, therefore, you are more likely to notice subtle changes in your dog's behavior or physical abilities.  Help us make the most of your "Golden Paws" senior care visit and take a few moments to complete this checklist.  What may look like normal signs of aging could actually be early signs of manageable health condition.

 Date of Visit:                                                        Appointment Time:                                                    

Your Name:                                                            Your Dog's Name:                                                      

Your Dog’s Breed/Sex:                                          Your Dog’s Birthdate:                                                

List any medications that your dog is currently taking (including flea and heartworm preventative).

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Describe your dog's diet.  Please include the brand name, any treats/table scraps, amount of food given, and how frequently your dog is fed.

                                                                                                                                                                               

                                                                                                                                                                               

                                                                                                                                                                              

Pleas list any other comments/questions that you may have.