Puppy/Kitten
(2nd-4th) Progress Visits Form

Name: Van Crest Animal Hospital & Boarding
Address: 1817 Augusta Rd, West Columbia, SC, 29169, United States
Telephone: 803-794-6550
Price range: $

If you are planning to have your pet board with us, please fill out the form below.

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Puppy/Kitten(2nd-4th)Progress Visits Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit. If this is an emergency, or if your pet needs urgent care, please call us at 803-794-6550 for a faster response.

Thank you for entrusting your pet's care to us today! The following information will be used to help our veterinary team accurately complete your pet's medical history for today's visit. We will need to be able to contact you or someone with permission to make medical and financial decisions.

Client's Name *

Primary Number for Text Reminders: *

Primary Email for Communications *

Who should we contact to make medical and financial decisions today? *

Owner (named above)
Someone else (named below)

Someone else *

Has your contact information changed? *

Please update if it has changed *

Pet's Name *

Check if you have concerns about any of the following:

Are there any concerns for the following: (check all that apply)

Coughing
Sneezing
Vomiting
Diarrhea
Limping or Discomfort
Tiredness/sluggishness
Head Shaking
Increased thirst
Increased urination
Scooting
Itching
Licking or biting feet
Car sickness
House-training
Other

If other, please specify *

Do you have other dogs or cats? *

If yes, how many? *

# other dogs # of other cats  

Are all dogs and cats currently vaccinated and on heartworm and flea preventive? *

How much time does your pet spends outdoors? *

Indoors mostly outside to potty/walks
50/50
Outdoor only

Does your pet do any of the following (check all that apply):

Boarding
Grooming
Dog parks
Pet Store trips
Contact neighbors dogs
Travels with you

What do you feed your pet? *

Dry
Canned
Both

How much and how often?

Is your pet microchipped? *

Would you like more Information on microchip?

Would you like us to trim the nails today?

Has your pet ever had any adverse reaction to any medications, vaccination, or other procedure, such as tenderness or upset stomach after vaccines?

Yes
NONE known

Please list any health issues you would like to discuss with the veterinarian  

Signature *

Clear Signature

Thank you! Be sure to complete your signature before clicking submit.

Your Printed Name *

We're Excited to Meet You

We welcome all new clients to our veterinary facility. We invite you to contact us and book your appointment today!

New Client Appointment

Existing Client Appointment

Say Hello!

We proudly serve the pets of West Columbia, SC, and beyond.



vancrest@vancrestonline.com



803-794-6550



1817 Augusta Rd, West Columbia, SC 29169



Monday, Wednesday, and Friday 7:30-1 PM and 2 pm to 6 pm

Tuesday and Thursday: 1 pm to 6 pm
Closed on Sat and Sunday

Contact Us

Please send us a message using the form below, and a member of our team will be in touch shortly.

Name *

First

Last

Email *

Phone

How can we help you? *

Website

Puppy/Kitten(2nd-4th) Progress Visits Form

Puppy/Kitten(2nd-4th)Progress Visits Form

Check if you have concerns about any of the following:

Puppy/Kitten
(2nd-4th) Progress Visits Form