Pet Owners Pre-Admission Questionnaire Pet Owners Overview What is a Referral? Arranging a Referral Your Referral Appointment Insurance Payments & Making a Claim FAQs Pet Health Information To make your pet’s stay with us as comfortable as possible please take a few minutes to complete the below questionnaire. Pre-Admission Questionnaire Pet's Name Surname Is your pet on any medication? Yes No Please list all medications, doses and times when they're given. Please bring the medication to the hospital when your pet is admitted. We can only accept medication that is in the packaging that it was originally dispensed in and the label is legible.Is your pet vaccinated? Yes No What do they normally like to eat?Does your pet have any food allergies or intolerances? Yes No If yes, please give more informationWhy type of bowl does your pet normally eat from? Metal Plastic China Other Does your pet have a command to toilet? Yes No If so, what is it? Was your pet born abroad, or have they ever travelled abroad? Yes No Please tell us whereDogsDoes your dog get on with other dogs? Yes No Is your dog walked on a harness or a lead? Harness Lead CatsWhat type of litter do they prefer to use?LitterPaperSandOutsideIs there anything else you feel we should know about your pet?If you would like to attach an image of your pet ahead of their admission, please do soAccepted file types: jpg, jpeg, gif, png, Max. file size: 64 MB.