There are no specific eligibility criteria to fill out the Veterinary Discharge Form. However, the person filling the form should have complete knowledge about the animal and its medical history.
What is the name of your pet?
What is the age of your pet?
What is the gender of your pet?
What is the breed of your pet?
How long have you been caring for this animal?
How would you rate the animal's health?
Has the animal been seen by a veterinarian in the past 12 months?
Is the animal up to date on vaccinations?
Has your pet been urinating and defecating normally?
Has your pet been eating and drinking normally?
What is the primary reason for your visit today?
What are the symptoms your pet is experiencing?
How long has your pet been experiencing these symptoms?
Has your pet been seen by a veterinarian before for these or similar symptoms? If so, please provide the name and contact information of the veterinarian.
Is your pet currently on any medication? If so, please list the medication and the dosage.
Are there any other medical conditions your pet has that we should be aware of?