Waconia Veterinary Clinic
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Curbside Care: Medical History Form

During the COVID-19 Pandemic, our practice is moving to “curbside care” to limit physical contact and adhere to social distancing recommendations. These new procedures help to limit exposure, not only to pet owners, but also to our veterinary team.

Please call the office to schedule an appointment for your pet.

In order for your veterinary healthcare team to provide comprehensive care for your pet, please fill in this form and return via email prior to your visit.
  • dd/mm/yyyy
  • Owner's Name

  • Pet Information

  • Pet Health - Reason for Visit

  • Days/Weeks/Months
  • food/treats
  • poor/good/excellent
  • name/dose/last given
  • lethargic/normal/hyperactive
  • increased/normal/decreased
  • increased/normal/decreased
  • normal/abnormal

Use our online pet health checker.

Learn More

Browse our pet health library.

Learn More
CONTACT US

 

113 East State Highway 5
Waconia, MN 55387

Phone: 952-442-2119 
Fax: 952-442-2291

[email protected]

HOURS OF OPERATION

 

Mon-Fri:   7am-5pm
Sat:             Closed
Sun:            Closed

EMERGENCY

 

For information on After-Hours
Urgent/Emergency Care

Emergency Care

© 2023 Waconia Veterinary Clinic.
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  • New Clients
    • New Client Registration Form
  • About Us
    • Team
    • AAHA Accredited
  • Services
    • Small Animal
    • Large Animal
    • Emergency
  • Pet Health
    • Pet Health Library
    • How-To Videos
    • Pet Health Checker
    • Pet Food Recalls
    • Pet Insurance
    • Product Recalls
    • News
  • Contact Us
    • Request an Appointment
    • Curbside Care Form
    • Contact Form
    • Cancellation Policy
  • Online Store