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Recheck Appointment Questionnaire

Please fill out the following form prior to your pet's recheck appointment at the VSCAN.

What type of recheck appointment is your pet having?
How has your pet's condition changed since the last appointment?
Is the patient exhibiting any of the following signs/symptoms?
Any seizure activity since the last appointment?
Similar to previous seizure(s)?
Were they responsive during the seizure? (Example; Would they respond to their name?)
Were any medication doses missed?
Is the patient limping or dragging a limb?
Any sever pain episodes following the injection?

Thanks for submitting!