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CAREERS | Online Pharmacy

Hours 6945 Hwy 72 W
Huntsville, AL 35806

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Pet Corner

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Call: (256) 489-8387
Hours
About Us
Services
Contact
Pet Corner
Online Pharmacy
Careers

Check Skin Intake Form

When did first symptom start?

Have you noticed any of the following? Check all that apply.

Shaking of the head

Scratching at one or both ears

Licking of paws

Lesion on body ( Scabes)

Hot Spots

Hives Swelling

Odor

Oozing from lesions

Red bumps

Hair loss

Staining on coat

Flaky skin

Bleeding

On a level 1-10, 1 being hardly noticeable and 10 being no rest at all, what would you rate the patient comfort level?

Does the patient have a history of skin infection?

Does the patient have a history of food or environmental allergies?

What is the patient normal diet? What is the protein source?

Is the patient on any heartworm, flea, or tick prevention? If so, what and when was last dose given?

Is the patient on any routine medication? If so, please list name, dosage, and frequency of use.

Does the patient have any issues with medication that we need to be aware of?

Has the patient ever been to a dermatologist?

Yes

No

Unsure

Has the patient ever been treated with alternative therapies that we should be aware of?

Is the patient up to date on vaccines ( If patient is new to our practice)

Yes

No

Unsure

Does the patient have pet insurance? If yes, what plan?

Any other concerns you would like to address with the doctor today?

pet skin concerns

Trusty Vet

6945 Hwy 72 W Huntsville, AL 35806 email: Hello@trustyvet.com phone: (256) 489-8387

We are closed for lunch daily from 12PM-1PM.

Office Hours

Monday: 7:00am - 6:00pm

Tuesday: 7:00am - 6:00pm

Wednesday: 7:00am - 6:00pm

Thursday: 7:00am - 6:00pm

Friday: 7:00am - 6:00pm

Saturday: Closed

Sunday: Closed

View our holiday hours and closings >

careers Pet Portal

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