Dragon Lake Veterinary Hospital

2372 Larch Avenue, Quesnel, BC V2J 5T9

Phone: 250-747-1429 Fax: 250-747-1430 Email: dlvet@shaw.ca

Date of last vaccine (if known)

Species *

I authorize Dragon Lake Vet to contact my previous vet for medical records

Yes

Phone

How Long has your pet been showing symptoms? *

0-24 Hours

1-7 Days

Over 1 Week

My pet does not have symptoms

Reason for Appointment *

Name: *

Is your pet taking any medications?

Date of last flea/tick treatment (if known)

Has your pet had any changes to diet or environment recently? Please Describe

If we've not seen your pet before, please provide the name of your previous vet.

Date of last deworming (if known)

pet's name: *

Have we seen your pet before? *

Yes

Appointment Check-In

Email: