Skin Issue Questionnaire

Thank you for choosing Healing Paws Veterinary Care. Please fill out the following form as thoroughly as possible so we can better serve your pet. If you have any questions, please give us a call. We look forward to seeing you and your pet!

Please answer these questions for what you have seen with your pet in the last 12 months.

(If so, please provide us with the medical records showing the testing and the results and uploading them below.)

Important Authorizations

Information About Veterinary Medical Care:


I realize that no guarantee or warranty can ethically or professionally be made regarding outcomes of treatment of medical illnesses or effectiveness of preventative care products and procedures. I have been informed that there are certain risks and complications associated with disease, sedation, anesthesia, and/or any operation/procedure and that while the team at Healing Paws Veterinary Care, Inc has my pet's best interest in mind at all times, sometimes complications occur. I further understand that during the course of the examination, diagnostics, procedures, or treatments, unforeseen conditions may arise that may necessitate the performance of additional procedures deemed necessary by the veterinarian. I am encouraged to discuss any concerns I have about these risks with the attending veterinarian before treatment or diagnostics are initiated. I am aware that the practice of veterinary medicine is not an exact science and, thus, there are no guarantees for successful treatment. I have been encouraged and given the opportunity to discuss any questions I may have regarding my pet's medical care. I accept that my financial obligations remain regardless of the outcome of treatment.