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First Visit

Prior to the first visit the owner will need to fill out a Medical History Form, which will need to be faxed or e-mailed to Dr. Lucena before the appointment.

The first visit usually takes longer, as Dr. Lucena takes a detailed history of the patient's past and current medical problems, diet and behavioral problems (if any), offers new puppy or kitten education, and addresses any other concerns the owner may have about his or her pet's health.

After a complete physical exam Dr. Lucena will determine whether any further diagnostic work, recommendations, treatments or plans of action need to be done. At that time she will answer any questions you, the owner, may have.

Medical History Form
Please complete this medical history form and send it before your pet's first appointment.

Date:

Owner information

First Name:
Middle Initial:

Last Name:


Email


Address:


City/State:
Zip:

Daytime Phone:
Evening Phone:

Best Time to Call:
AM PM


Pet Information

Pet's Name:
Date of Birth :

Breed:


Species:
Sex: Male Female

Past Medical History (vaccinations, Allergies, Prescription Medicines or any other information that will assist Dr. Lucena in knowing your pet)
Prescription Medicine(s):


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