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Home
About Us
About Curbside Vets
Dr. Sherif Lawendy
Referral Program
Testimonials
Photo Gallery
Branchisees
Blog
FAQs
Services
Services A – F
Anesthesia
Hospice and Farewell Services
Dentistry
Diagnostic Imaging
Emergency Vet Services
Euthanasia
Food and Medication Delivery
Services L – V
Laser Therapy
Lab Services
Preventative Care
Pet Pharmacy
Rehabilitative Services
Surgery
Vaccines
Pet Owners
Payment Options
Online Pharmacy
Education
Online Forms
Contact
Search Label
Anesthesia Release Form
Client
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Email
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Pet
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Species
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Age
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Please check any that apply
Weight Gain
Weight Loss
Appetite Increase
Appetite Decrease
Vomiting
Diarrhea
Constipation/difficult defecation
Increased Drinking
Increased Urination
Lumps/tumors
Skin problems
Bad breath/Sore gums/Difficulty eating
Decreased Awareness
Gets confused/lost
House soiling
Spraying
Decreased recognition of people/animals/commands
Decreased affection/interaction with owners
Chewing, licking, eating non-food items
Increased irritability/aggression
Increased fear/anxiety
Decreased tolerance of handling
Decreased hearing or "selective hearing"
Repetitive behaviors, e.g. pacing, over-grooming
Coughing
Sneezing
Muscle tremors/shaking
Weakness/incoordination
Difficulty climbing stairs/increased stiffness
Decreased activity
Sleeps more
Excessive vocalization in the day
Excessive vocalization at night
Waking owners at night
Other problems/concerns
Medications
Existing medical conditions
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