IVC Patient Update

"*" indicates required fields

So that Dr. Kangas may best prepare for your consultation, please complete and submit the information below. Notes: All questions require a response, if the answer is no or none, please simply type NONE or N/A in the prompt. Average time to complete is 3-5 minutes. Please be sure to have a photo of your pet available to upload.
Your Name*
Address
if your address has changed recently, please update
Describe concerns/reason for scheduling this appointment
Please include brand of food, amount being fed and frequency of feeding
please include heartworm and/or flea/tick prevention
include brand, amount given and frequency
if you prefer, you may send records directly to records@intvetcare.com
if yes, please list vaccine and date given

PLEASE READ AND SIGN BELOW:

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