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Online Pharmacy
Mon – Fri:
6:00am – 7:00pm
Sat:
7:00am – 12:00pm
Sun:
4:00pm - 6:00pm
2316 1st Ave South,
Birmingham, AL 35233
Contact Us
(205) 406-6710
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Mon – Fri:
6:00am – 7:00pm
Sat:
7:00am – 12:00pm
Sun:
4:00pm - 6:00pm
2316 1st Ave South,
Birmingham, AL 35233
Contact Us
(205) 406-6710
Search
Request a Refill
Request an Appointment
Medical Concern Form
Pet Name
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Client Name
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Phone Number
Email
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Emergency Contact
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Reason for visit
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Illness
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Current medications:
What symptoms has your pet been experiencing?
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Are there any concerns for the following? (Check All That Apply)
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Increase in appetite
Decrease in appetite
Increase in drinking
Decrease in drinking
Itching/Scratching
Weight Loss
Weight Gain
Scooting
Licking
Diarrhea
Behavioral Problem
Urination Issues
Bad Breath
Anxiety
Vomiting
Masses
Other...
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When did the problem start?
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Has your Pet been treated for the same condition in the past?
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Do you need additional services?
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