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Lynwood Animal Hospital

Phone: (613) 820-0443
30 Stafford Road Unit 107
Nepean, ON K2H 8W1

Call Us Today (613) 820-0443

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Hours:

Mon-Fri: 8:30am – 6:00pm
Sat & Sun: Closed
Closed for our weekly staff meeting Tuesdays between 1-2pm 

After-hours Call Animal Emergency at 613-745-0123
  • Home
  • About Us
    • Clyde E. Bird – In Memoriam
    • Our Team
    • Blog
  • Health Questionnaires
  • Services
    • Avian Medicine and Surgery
  • Appointments
  • Transport Tips
    • Tips For Taking Your Bird To The Vet
    • Tips For Taking Your Cat To The Vet
    • Tips For Taking Your Dog To The Vet
    • Tips For Taking Your Rabbit To The Vet
  • Links
  • Contact

  • We Welcome New Clients

    We invite you to contact us today to discuss your pet’s care. Please don’t hesitate to call us at (613) 820-0443.

  • Protect Your Pets

    Click here for helpful information about preventing parasites in your pets.
Lynwood Animal Hospital

Phone: (613) 820-0443
30 Stafford Road Unit 107
Nepean, ON K2H 8W1

Hours

Mon-Fri: 8:30am – 6:00pm
Sat & Sun: Closed
Closed for our weekly staff meeting Tuesdays between 1-2pm 

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Lynwood Animal Hospital

Appointments

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We will do our best to accommodate your busy schedule. Please schedule an appointment today!

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Canine Health Questionnaire (Senior >7 years of age)

MM slash DD slash YYYY
Address
Sex:
MM slash DD slash YYYY
1. Does your dog seem to have the same energy and stamina as last visit?
2. Have you noticed any changes in eating or drinking habits?
3. Do you have any concerns about your dog’s bathroom habits?
4. Have you noticed any personality or behaviour changes in your dog?
5. Does your dog exhibit any of the following:
6. Is your dog showing any of the following changes in mobility?
7. Have you noticed any changes to your dog’s senses?
8. What diet are you currently feeding your dog? (Please indicate brand of food, amounts, and how often for each of the following:)
Dry kibble:
Canned food:
Treats/other:
 
9. What parasite preventive are you using for your dog?

b. Have you found any ticks or fleas on your dog?
10. Is your dog currently on ANY supplement or medications (incl. vitamins, probiotics, omegas, glucosamine, etc)?
11. Does your dog have bad breath?
12. What type of dental care do you provide for your dog?
13. Does your dog do any of the following:
14. Do you have other pets?
b. If applicable, are they currently vaccinated and on parasite preventive?
15. Is there anyone in contact with your dog who has an immunocompromised condition (ie, diabetes, pregnancy, cancer, children <5yrs, seniors >65yrs)?
16. Are there any health issues or behaviors you wish to discuss?
17. Does your dog have a microchip, or carry pet insurance?
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  • Canine Health Questionnaire (Annual 2-6 years of age)
  • Canine Health Questionnaire (Puppy <1 year of age)
  • Canine Health Questionnaire (Senior >7 years of age)
  • Canine Health Questionnaire Form
  • Chinchilla Health Questionnaire Form
  • Feline Health Questionnaire (Annual 2-9 years of age)
  • Feline Health Questionnaire (Kitten <1 year of age)
  • Feline Health Questionnaire (Senior >10 years of age)
  • Feline Health Questionnaire Form
  • Ferret Health Questionnaire Form
  • Guinea Pig Health Questionnaire
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  • New Client Registration Form
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  • Prescription Refill & Food Order Form
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  • Small Rodent Health Questionnaire Form
  • Thank You
  • Tips For Taking Your Bird To The Vet
  • Tips For Taking Your Cat To The Vet
  • Tips For Taking Your Dog To The Vet
  • Tips For Taking Your Rabbit To The Vet
  • Transport Tips
  • About Us
    • Clyde E. Bird – In Memoriam
  • Our Team
  • New Clients
    • Health Questionnaires
  • Veterinary Services
    • Avian Medicine and Surgery
  • Contact
  • Appointments