NEW PUPPY CHECK IN FORM

Prior to your New Puppy Exam

Help us get a jump start on your New Puppy Exam. Please take a moment to fill out and submit this brief questionnaire on your new puppy. By learning about your puppy and of any concerns you may have, we can more effectively begin working with your family.

* Please bring copies of any previous medical records you have.

* Indicates required field

Name *

First

Last

Pet Name *

Phone Number *

Email *

Date of New Puppy Exam Appointment *

Have you had a puppy before? *

Previous Vaccinations? *

Stool Test for Intestinal Parasites? *

What brand of food are you feeding? *

Please select your top 3 concerns: Concern #1 *

Concern #2 *

Concern #3 *

We will do our best to address all of your concerns during your visit. If you have a high volume of questions we are happy to address them, however due to time constraints this may occur during follow up visits. Please list any other questions you would like addressed during your visit: *

Thank you for your time, we look forward to seeing you and you puppy soon!

Submit

Helpful Info

OFFICE HOURS
Monday 7:30 am - 6:00 pm
Tuesday 7:30 am - 7:00 pm
Wednesday 7:30 am - 7:00 pm
Thursday 7:30 am - 6:00 pm
Friday 7:30 am - 6:00 pm
Saturday 8:00 am - 12:00 pm
Sunday Closed

* Note: Doctors on duty starting at 9 am
* Hours subject to change
Check Facebook for Holiday Hours

Get In Touch

CLIFF LAKE VETERINARY CLINIC
1960 Cliff Lake Road, Suite 109
(In Cub Foods mall next to Great Clips)
Eagan, MN 55122
651-452-5156

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NEW PUPPY QUESTIONNAIRE
FOR SCHEDULED DOCTOR EXAM

Prior to your New Puppy Exam

Helpful Info

CONTACT US & DIRECTIONS

EMERGENCY INFO

Get In Touch

Our Partners In Care

NEW PUPPY QUESTIONNAIRE​FOR SCHEDULED DOCTOR EXAM

Prior to your New Puppy Exam ​

Helpful Info

CONTACT US & DIRECTIONS

EMERGENCY INFO

Get In Touch

Our Partners In Care

NEW PUPPY QUESTIONNAIRE
FOR SCHEDULED DOCTOR EXAM

Prior to your New Puppy Exam