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Call us at 707-942-0404
Home
About
Our Veterinarians
Our Care Team
Photo Gallery
Hospital Tour
Reviews
Patient of the Month
Care to Share
Services
All Services
Wellness & Vaccinations
Allergies & Dermatology
Nutrition & Weight Management
Diagnostics
Dentistry
Surgery
Regenerative Medicine
Emergency Care
Cancer Treatment
Laser Therapy
End of Life Care
Orthopedic Surgery
TPLO
FHO
Laparotomy Procedures
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Triage Forms
Wellness Exam
ADR
Skin Issues
Growth/Lumps
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Foxtail
Eye Concerns
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Vomiting
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Ear Infection
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Request an Appointment
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Request an Appointment Button
Eye Concerns Triage Form
Owner's Name:
Pet's Name:
Species:
Dog
Cat
Spayed or Neutered?
Yes
No
Age:
Best way to contact owner:
Primary Concerns
Which eye is affected?
What symptoms is your pet experiencing?
Redness
Swelling
Discharge
Squinting
Cloudiness
Pawing at eye
Tear staining
Changes in vision
Visible injury
When did you first noticed the issue?
Symptoms Details
Please describe what the discharge from the eye looks like, if any?
Clear
Watery
Yellow
Green
Thick
Bloody
Crusty
Has your pet been scratching or rubbing the eye(s) more than usual?
Is your pet’s vision affected?
Is the eye issue affecting your pet’s appetite or behavior?
Medical History
Has your pet had eye issues in the past?
Are they currently on any medications?
Does your pet have any known allergies or chronic conditions?
Environmental and Behavioral
Has your pet been exposed to any of the following:
Dust/pollen
Smoke
Chemicals
Cleaning products
New animals
New environments
Grass/abrasive surfaces
Any behavioral changes?
Additional Symptoms
Is your pet experiencing any of the following:
Sneezing/Coughing
Vomiting
Diarrhea
Ear issues
Nasal discharge
Is there anything else you would like us to know about your pets condition?
Submit
Please do not fill in this field.
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