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Please provide the information below as completely as possible. All information is strictly confidential.

OWNER / CAREGIVER

PET INFORMATION

OVERALL HEALTH

BODY CONDITION

FOOD INTAKE

ORAL HEALTH

WATER INTAKE

URINATION

DEFECATION

VOMITING

BREATHING

EXERCISE

MOBILITY

PAIN ASSESSMENT

SKIN AND HAIR

LUMPS AND BUMPS

MENTATION, VISION, HEARING

MEDICATION AND SUPPLEMENTS

ANY OTHER QUESTIONS/OBSERVATIONS/CONCERNS

 Call us at 518-399-5213 to schedule an appointment!

THIS ---->https://burnthillsvethospcom.vetmatrixbase.com/senior-assessment-form.html

Office Hours

Day
Monday8:00am8:00pm
Tuesday8:00am8:00pm
Wednesday8:00am8:00pm
Thursday8:00am8:00pm
Friday8:00am8:00pm
Saturday8:00am5:00pm
SundayClosedEmergencies Only
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8:00am 8:00am 8:00am 8:00am 8:00am 8:00am Closed
8:00pm 8:00pm 8:00pm 8:00pm 8:00pm 5:00pm Emergencies Only

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