Vet Visit Report Your Name* Email Date of Vet Visit* MM slash DD slash YYYY Dog Name* Is dog primarily housed in ABEL or the community?* ABEL Community I'm not sure Vet Hospital*Meadowmont Animal HospitalTriangle Vet Referral HospitalNCSU Vet SchoolOtherVeterinarian Seen*Dr. RobertsonDr. GordonVet Tech onlyOtherVet Hospital Name* Vet Hospital PhonePlease provide the vet hospital's contact information if EENP did not make this appointment for you so we can follow up to get the records.Purpose of Visit* Annual or Wellness visit Medical issue Spay/Neuter appointment Breeding or health clearance appointment Vaccinations Given Rabies DHPP Leptospirosis Lyme Other It is very important that EENP has copies of all paperwork for rabies vaccinations. Please be sure that you bring the rabies certificate and rabies tag to EENP's office within the next week so we can scan the information for our files.Did you discuss or discover other medical issues with the vet?* No Yes Briefly describe other issues discussed with the vetIs the dog to receive medication?* No Yes It wasn't clear to me Medication Source The vet gave me the medication I need to pick up medication from EENP I already have the medication Photo of Medication LabelIf the vet gave you medication, please take a clear picture of the label including medication name, dose, and instructions. You can upload more than one picture if needed. Drop files here or Select files Max. file size: 512 MB, Max. files: 5. Medication Name, Dose, and Number of Days Needed Did the vet give any follow up care instructions besides medication?* No Yes It wasn't clear to me Visit PaperworkIf you were given paperwork from the visit, you can upload a picture(s) of it here. Drop files here or Select files Max. file size: 512 MB.
