Call: 508-960-6564

288 Fall River Ave Seekonk, MA 02771

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About Us
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Client Center
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Contact Us
Book Appointment

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canine wellness exam

Save time in the office by filling out your canine wellness exam online!

Canine Wellness Exam History

Owner's Name *

First

Last

Email *

Phone *

Pet's Name *

What brings you in today? *

Is your pet:

Indoor
Outdoor
Both

Does your pet go to the:

Boarding Facility
Groomer
Daycare
None
Other

If other, please specify:

Is your dog on heartworm prevention and if so, what brand? Are you interested in injectable heartworm prevention as an alternative?

Yes
No

If yes, which brand?

What flea/tick prevention is your dog on?

Which vaccines does your dog get? Rabies?, DHPP (Distemper)? Leptospirosis? Lyme? Bordetella? Canine Influenza?

Do you need any information on the above vaccines and what they prevent?

Yes
No

Is your dog on any medications and if so, what are they, what are the dosages and what is the frequency?

What do you feed your dog and how much?

Any other requests such as nail trim, anal glands, etc.?

Does your pet have pet insurance?

Yes
No

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Contact Us

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Address

288 Fall River Ave Seekonk, MA 02771

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Contact

Text: 508-336-3381

Phone: 508-336-3381
Fax: 508-336-4528
Email: email@bristolcountyvet.com

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Temporary Hours

Mon, Wed, Fri: 8:00 am – 6:00 pm
Tues, Thurs: 8:00 am – 7:00 pm
Sat: Closed
Sun: Closed

Have a question?

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