Order Number Animal Name * Select Your Shelter * Cape Breton Colchester Dartmouth Kings Pictou Yarmouth Reason for Visiting Today * Have you seen an improvement in their condition? * Normal More Less How are they eating? * Normal More Less Duration * How are they drinking? * Normal More Less Duration * How are their bowel movements? * Normal Infrquent Diarrhea Duration * How are they peeing? * Normal More Less Duration * How is their energy level? * Normal More Less Duration * Are they vomiting? * Yes No What does their current diet consist of? * Please be specific Are they currently on any medications? * Yes No Please select areas of concern * Skin URI (Upper Raspatory Infection) Urinary Other concerns noted in the home?