Patient History
Pet's Name *
Name *
Cell Phone *
Email Address *
Date
Time
Please take a moment to fill out our History Form before your appointment
New clients must submit the registration form before this history form
Reason for this visit
Please list ANY known allergies that your pet has
Please list ANY existing medical problems that your pet has
Please list ALL Heartworm and Flea/Tick preventions that your pet takes
When was last dose given?
Please list ALL medications that your pet takes (including Over-the-Counter meds and supplements)
Is your pet spending time outdoors? *
What is your pet's normal diet? Include brands and style
Has there been a recent diet change? *
How is your pet's activity? *
How is your pet's appetite/water intake? *
How is your pet drinking? *
Is your pet coughing? *
Is your pet sneezing? *
Does your pet have any eye or nose discharge? *
Is your pet vomiting or regurgitating? *
How are your pet's stools (droppings)?
Do you think your pet may have eaten anything that it shouldn't have (such as garbage or a toy)? *
How is your pet's urination?
Has your pet had a urinary problem in the past? *
Is your pet having any skin or ear problems? *
Is there any additional pertinent information we should know about your pet today?
Please upload documents/photos
I called Walker Veterinary Hospital at 7:30 in the morning because my fur baby needed an urgent procedure, they fit me in same day within an hour or so of calling and from the moment I walked through those doors I was met with such compassion and kindness. It was such a scary and uncertain time but Dr. Hung and everybody I encountered was kind and knowledgeable and honestly exactly what I needed! My baby is on her road to recovery because of the excellent and timely care she received and I will FOREVER be grateful for them, Doctor called the morning after the procedure to check on her recovery and I just cannot express how much it means to know my girl was in the hands of someone so caring!
The worst day of our life happened… our boxer Bo’s life came to an end, he was unable to walk anymore. He could barely breathe, and it was time we went to Walker vet, and they took care of things. Someone was really paying attention because they realize the level of grief we were experiencing today in the mail unexpectedly, we received a pair of paw prints Words cannot express how heartfelt this is.
This site saved my dog’s life. My ESA and best friend was limping one day and we went to another site around town, and they prescribed him carprofen. It made things worse. We went to get a second opinion as things worsened at Walker. The doctor walked through symptoms with us, had me feel the lymph nodes in his back leg, and he was diagnosed with Immune-Mediated Hemolytic Anemia (IMHA). We don’t know what caused it but his body was destroying its own red blood cells. After this was identified he was put on steroids and antibiotics and he is in full recovery! He is back to his normal personality. I owe everything to Walker’s staff for saving my buddy.
We visited Walker Vet because we heard Dr. Hung was familiar with FIP in cats. Her knowledge, and her care, put us at ease and saved our cat’s life. She explained the details to us like a friend. She was genuinely concerned about his life, and helping us to build a strong at-home care regimen. The front office staff is professional and friendly. They operate smoothly and support the doctors well. Of my many phone calls, even on very busy days, I never received any attitude. Just good people helping other people and their pets.
My dog has always received the best care from Dr. Connie. My boy can be a handful at times, and Dr. Connie is always very patient with him, as well as with me, in answering all my questions and concerns regarding my fur baby's care. All the staff have always treated us with respect and care. I recommend Wallker Vet, especially Dr. Connie, to all my friends and family! Thank you for all your care, Dr. Connie! We appreciate you.

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