Integrative Appointment Intake Form Integrative Appointment Intake Form Hello and welcome to Lane Veterinary! I am so excited you are interested in an integrative approach. I am here to support you and your beloved companion and cannot wait to learn more about your pet and meet you. - Dr. Lauren Beaird Please be sure to send a complete medical history from your previous veterinarian(s) no less than 1 week prior to your visit. Records should include both general practice and specialty records, if applicable. They can be sent to pets@lanevet.com. Collecting a patient history and understanding your goals and expectations for your pet's health during your first visit will take up a considerable amount of the 60 minute appointment. Take your time when filling out this form and submit at least one week prior to your visit (when applicable). Please consider spending 30 minutes (or more if needed) of focused time on this form. A thorough history will help us create an individualized plan for your pet before we meet. During the visit we will discuss this plan of action and adjust it to meet your expectation and individual goals. What to bring: Your pet! Anything that makes your pet feel comfortable (a favorite toy and/or snack are strongly encouraged) Medications, supplements, foods, or treats your pet is on Name * Name First First Last Last Phone * Email * Your primary concern for your pet. * Additional health concerns. I greatly value communication and want to ensure that I am understanding exactly what your goals and expectations are for this visit, and for long term care. Please provide me a detailed list of your goals and expectations. * If you suspect your pet has concerns with any medication, prevention, medical treatments/injections, vaccinations, foods, treats, etc. Please list them here. I want to be mindful of these when I am making personalized recommendations for your pet. * What food are you feeding? Please be specific with brand, and full name of diet (including protein/flavor/meat), how much and how often you are feeding. * What treats, chews, etc. are you feeding at home? Please be specific. * Please provide a comprehensive list of any medications, preventions, supplements, and topicals you are using with your pet. Include the amount you give and how frequently. Be specific with brands as well if applicable. * Are you open to dietary recommendations/changes such as balanced lightly cooked foods or commercially prepared raw foods? Please explain any concerns or questions you may have regarding a diet change. * Please list any additional questions/concerns you would hope to address. Captcha If you are human, leave this field blank. Submit
