Call Us: 508-234-9987
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New Client Registration Form
Our Policies
About Us
Our Doctors
Our Support Staff
Services
Daycare and Boarding Facility
Preventive Healthcare Visits
Wellness Screening
Nutritional Counselling and Prescription Diets
Diagnostic Services
Digital Imaging
Pet Dentistry
Preventive Dental Care
Surgical Services
In-house Pharmacy
Client Education
Laser therapy
Sedation
Microchip Implantation
End-of-Life Pet Care
Adopting & Rehoming Pets
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
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Product Recalls
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Emergency
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Curbside Care
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Curbside Check In Form
Please fill out this form prior to your appointment. If this is an emergency please call out office at 508-234-9987
Due to the outbreak of the Coronavirus (COVID-19), PawSteps Veterinary Center is doing everything we can to protect you, our clients, our community, and our staff. To this extent, we will be following the Center of Disease-Control (CDC) guidance with regard to social distancing practices and sanitation. We ask that our clients practice good sanitation and social distancing guidelines while visiting.
In the last ten days, have you experienced any of the following symptoms? Fever, Cough, Chills, Vomiting, Headache, New loss of taste or smell, Sore throat, Muscle pain
*
Yes
No
Have you traveled out of the country within the last 30 days?
*
Yes
No
Have you or anyone in your household been exposed to COVID-19?
*
Yes
No
Have you or anyone in your household tested positive for COVID-19 in the last 14 days?
*
Yes
No
CLIENT INFORMATION
Name
First
Last
Appointment Date/Time
My pet and I will be in this vehicle (make/model and color)
Email
Best phone number to reach you during your appointment
(the Veterinarian and technician will use this number to communicate with you throughout the appointment.)
PATIENT INFORMATION
Name
Patient species
Dog
Cat
Reptile/Bird
Pocket Pet
Reason for Visit
Wellness/Vaccines
Recheck/Progress
Injury/Illness
Procedure
What diet are you feeding your pet? Please include food brand, amount, and frequency
Is your pet currently taking any medications or supplements? Please include name, dose and frequency
Is your pet on monthly flea/tick and heartworm prevention? Please list
Please describe any concerns you would like addressed at your pets visit.
New Clients
New Client Registration Form
Our Policies
About Us
Our Doctors
Our Support Staff
Services
Daycare and Boarding Facility
Preventive Healthcare Visits
Wellness Screening
Nutritional Counselling and Prescription Diets
Diagnostic Services
Digital Imaging
Pet Dentistry
Preventive Dental Care
Surgical Services
In-house Pharmacy
Client Education
Laser therapy
Sedation
Microchip Implantation
End-of-Life Pet Care
Adopting & Rehoming Pets
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
Pet Food Recalls
Product Recalls
Pet Insurance
News
Emergency
Contact Us
Make an Appointment
Online Pharmacy
Curbside Care