VETERINARY APPOINTMENT
Montreal Veterinary Hospital, 514-489-8217

Given the situation with COVID-19, distancing measures are important and must be respected. For the past week, the clinic has no longer allowed pet owners to enter the building. Call us to notify us of our arrival in the parking lot, and wait in your car with your pet. Payments are made over the phone.

IN ORDER TO ACCELERATE the process when you arrive at your appointment, please complete this form. THANK YOU!
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Date you complete this form *
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Date of veterinary appointment *
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Time of veterinary appointment *
Time
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What is the phone number on file *
Name of your pet *
Your name *
Are you the owner or representative of the animal *
Is there, at the same address as the one where the animal lives, a person suffering from corona virus, in quarantine or with flu symptoms? *
Telephone number where the veterinarian is 100% certain that he can reach you: *
The veterinary consultation fees are 99,00 $. Prescription or test costs are additional. This amount will be charged to your credit card. Please enter your credit card number:
1. What is the reason for the consultation? Be precise. *
2. How long has your pet had this problem? *
3. Is the problem getting worse? Better? Stable? *
4. Have you tried treatment? If yes which? *
5. Have you ever seen a veterinarian for this problem? If yes, when and where? Please make a request to this veterinarian to send us the file. *
6. Does your pet have a good appetite? If not, since when? *
7. Does he have vomiting / diarrhea? If yes since when? *
8. Did he urinate normally during the past few days? If not, since when *
9. Is he known for an illness? *
Required
10. Is he receiving medication at this time? If yes, which and when was the last dose? *
11. Does he have allergies? If so which ? *
12. What does he eat in a day (type of food / quantity)? *
13. Can he show aggression in the clinic (when he is afraid)? If yes, specify. *
14. Does your pet go outside (on a leash or on the balcony)? Please specify. *
15. Is there anything else you want the veterinarian to know about your pet? *
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