Client Name:* First Last Pet(s) Name:* Date and time of appointment:* How are they doing overall?*Are they drinking normally? Has there been any change in his/her water consumption over the last 6 months?* Are they eating normally? Has there been any change in his/her eating habits in the last 6 months?* What kind of food are you feeding? How much, how many times a day? How long has he/she been on this diet?*Are they urinating and defecating normally?* Have they been coughing, sneezing, vomiting or had diarrhea?* Has there been any change in his/her body condition? (weight loss/gain, loss of muscle mass)* Has his/her activity level changed in the past 6 months? Have you noticed any lameness?* Do they have any new or changed lumps?* Are they on any medications or supplements, flea/tick, heartworm or other parasite prevention products?* Do they have a history of reactions to vaccines or medications?* What is their lifestyle like? Does he/she participate in breeding, working or hunting, canine sports or obedience classes, daycare, boarding or grooming?*Do they travel outside of Maine? If so, where?* What questions or concerns would you like to discuss with the doctor?*We recommend checking for intestinal parasites at your pet’s annual exam or with any GI symptoms. If you would like to do this, please bring a fresh fecal sample to the appointment. We recommend a comprehensive health screening to assess general health and check for any underlying disease. Many chronic diseases can be detected with this test before symptoms are apparent, improving treatment and management options.