What is your pet's name and your last name?*

Do you need CBD, probiotics, or Standard Process supplements? (We will have these ready at the time of the appointment)*

Any food allergies?

Have medications changed or been added?

For dogs - are you going for walks?

How many minutes? How many times per day?

Tell us about assigned current exercises and how they are going? Any problems or questions?

Any new problems we should know about?

Has your pet been to your vet or rechecked with the surgeon since we last saw you? If so, who and when? Did they take xrays?

Payment Options*

Please send me in invoice via email. I will pay for today’s charges through that email link.
My credit card is saved in Swipe Simple, please ask me first before charging.
Third ChoiceMy credit card is saved in Swipe Simple. It is OK to charge today’s charges.

COVID Exposure*

I have not had a fever or respiratory symptoms.
I have not been knowingly exposed to COVID 19 in the last 7 days.
I have been exposed to COVID 19 in the last 7 days. (If you have had a known exposure and have NOT been tested, we ask that you stay in your car during treatment. )

I am at least 2 weeks past my third COVID vaccination.*

I am willing provide proof of vaccination to HAAC.*

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