Check-in for your pet’s VIP curbside pick-up!

Before you come to see us, please complete the online curbside check-in form 24-hours prior to your pet’s appointment to help facilitate the curbside flow. When you arrive for your appointment, text or call us at 508-336-3381, and a member of our team will come out to retrieve your pet(s). If you have not booked an appointment yet, please click the button below. If you have booked an appointment, please complete the form below.

APPOINTMENT

Client's Name *

First

Last

Email Address *

Patient's Name *

Patient's Species *

Dog
Cat
Other

If Other, please specify. *

Is this the first time we have seen your pet? *

What Veterinarian / Veterinary hospital previously cared for your pet? *

May we contact them for medical records? *

If not please upload a copy.

Medical Records

Click or drag files to this area to upload. You can upload up to 5 files.

How long have you had your pet and from where did you obtain your pet? *

Does your pet have any previous medical history we should be aware of (Allergies/ surgeries/ chronic medical conditions) *

If yes, please explain. *

Has your pet been vaccinated for rabies? *

Date of vaccination

Is your pet up to date on other vaccines? *

Please list.

Has your pet been tested for heartworm and tick-borne disease in the past year? *

Has your pet been tested for Feline Leukemia and Feline AIDS? *

Who will be bringing your pet in for the appointment? *

First

Last

What car will they be driving? *

(Color / Make/ Model)

Best Phone number for communicating with the Veterinarian and Technician during the appointment. *

May we communicate via text during the appointment? *

What brings your pet in today? What is the primary reason for today’s visit? *

Is there anything else you would like to discuss with the doctor?

Please complete the following questions about your pet:

1. Does your pet have pet insurance? *

If yes – Provider? *

2. Describe your pets’ outdoor time. (Please check all that apply) *

Leash Walks
Fenced in Yard
Off Leash Walks
Indoor Potty

2. Describe your pets’ outdoor time. (Please check all that apply) *

Indoors Only
Indoors/ Outdoors
Outdoors Supervised

2. Does your pet go outside? *

If yes, please describe your pets’ outdoor activities.

3. Does your pet participate in: (check all that apply) *

Boarding/ Daycare
Grooming
Training Classes
Other
None

If Other, please explain.

4. Has anything changed in or with your household? Example People/Pets come or gone, construction, moving, etc. *

Please explain.

5. Does your pet take any medications?

If so, please list including dosage.

6. Does your pet take any supplements?

If so, please list including dosage.

7. Does your pet need any refills on Medications/ Supplements / Prescription Diets?

If so, please specify.

8. Is your pet on Heartworm Prevention? *

Interceptor
Heartgard
Bravecto for Cats
Revolution
Proheart12 (injectable)
Other
What is Heartworm prevention? Should I be giving it to my pet?

If Other, please specify. *

9. Does your pet receive heartworm prevention year-round?

10. Is your pet on Flea and Tick Prevention? *

Seresto collar
Bravecto
Vectra
Other
What is flea and tick prevention? Should I be giving it to my pet?

If Other, please specify. *

11. Does your pet receive flea and tick prevention year-round?

12. Please describe your pets diet including the type and amount of food they eat, including any treats or human food.

13. Has your pet or is your pet currently experiencing any of the following? (please check all that apply and describe)

Coughing/Sneezing/Wheezing
Vomiting / Diarrhea
Seizures, fainting or dizziness
Pain/ stiffness / lameness/ limping
Change in activity level - Lethargy/tiredness or Increased activity
Poor appetite / Weight loss
Increased thirst / Increased urination or accidents
Skin issues / Itching / Rash / lump or bumps
Eye issues
Ear issues
Dental issues

Please describe Coughing/Sneezing/Wheezing

Please describe Vomiting / Diarrhea

Please describe Seizures, fainting or dizziness

Please describe Pain/ stiffness / lameness/ limping

Please describe Change in activity level - Lethargy/tiredness or Increased activity

Please describe Poor appetite / Weight loss

Please describe Increased thirst / Increased urination or accidents

Please describe Skin issues / Itching / Rash / lump or bumps

Please describe Eye issues

Please describe Ear issues

Please describe Dental issues

14. What vaccinations does your pet receive? If you have questions or are unsure, you can skip this question. (Please check all that apply)

Rabies
Distemper (DHPP)
Leptospirosis
Lyme Disease
Bordetella (Kennel Cough)
Influenza

14. What vaccinations does your pet receive? If you have questions or are unsure, you can skip this question. (Please check all that apply)

Rabies
Rabies Purevax
Distemper (FVRCP)
Leukemia

15. Does your pet need any additional services today?

Nail trim
Ear cleaning
Anal gland expression
Sanitary clip

Is there anything else you would like to share with us about your pet?

Client Signature *

Phone

Providing compassion, care, and kindness to pets and their people.

ADDRESS

288 Fall River Ave
Seekonk, MA 02771
Click here for directions.

TEMPORARY HOURS

Mon: 8:00 am - 6:00 pm
Tues: 8:00 am - 7:00 pm
Wed: 8:00 am - 6:00 pm
Thurs: 8:00 am - 7:00 pm
Fri: 8:00 am - 6:00 pm
Sat: 8:00 am - 2:00 pm
Sun: Closed

CONTACT

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

Check-in for your pet’s VIP curbside pick-up!

Please complete the following questions about your pet:

ADDRESS

TEMPORARY HOURS

CONTACT

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