New Client Questionnairein Oklahoma City, OK

Thank You for Choosing City Paws

We’re honored to serve as a trusted partner in your pet’s care. Our compassionate team is ready to help your pet feel better — every hour of every day.

CLIENT INFORMATION

Name *

Phone

Email *

Referring Veterinarian/Clinic:

PATIENT INFORMATION

Pet Name *

Age or DOB

Breed

Sex

Male
Neutered
Female
Spayed

Species

Dog
Cat
Other

If other, please specify: *

REASON FOR TODAY’S VISIT

What concerns bring your pet to see us today?

When did you first notice these issues?

Have the signs been:

Improving
Worsening
Staying the same
Intermittent

Has your pet been treated for this problem before?

If yes, please describe (tests, treatments, response):

CURRENT MEDICATIONS & SUPPLEMENTS

Please list all medications, supplements, and preventatives your pet is currently taking (include dose & how often). Please bring all medications with you to each visit with the Internal Medicine team.

Repeater

Medication/Strength

Dose/Frequency

DIET & APPETITE

Current Diet (brand, type, prescription if applicable):

Appetite

Normal
Decreased
Increased
Picky

Any diet changes?

If yes, please explain: *

ENERGY & BEHAVIOR

Energy Level:

Normal
Decreased
Increased

Any weight changes?

Loss
Gain
No Change

Behavioral changes (anxiety, hiding, restlessness, etc):

MEDICAL HISTORY

Known medical conditions:

Previous surgeries or hospitalizations:

Allergies or medication reactions:

ADDITIONAL INFORMATION

Is there anything else you feel is important for us to know about your pet or their condition?

GOALS & EXPECTATIONS

What are your goals for today's visit?

Diagnosis
Treatment options
Long-term management
Quality of life discussion
Other

Other *

Name

Call Us Anytimefor Emergency Veterinary Care

If your pet is experiencing an emergency, don’t wait — come straight to City Paws Emergency Care in Oklahoma City. We are open 24/7 with no appointment needed.

Call us now at
(405) 342-0663

Visit us at 912 Market Dr. Oklahoma City, OK 73114

Your pet’s health can’t wait, and neither do we.

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Have a question?

Please complete our online form and a member of our team will get back to you as quickly as possible.

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Location

912 Market Dr.
Oklahoma City, OK 73114

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Contact Information

Phone: (405) 342-0663
Email: help@okcitypaws.com

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Hours Of Operation

Open 24 hours a day, 7 days a week.

Walk-ins only — no appointments required.

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Email *

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How can we help you? *

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