Canine Sports Medicine & Rehabilitation Service Progress Report

Please tell us how your pet is doing since their last exam.

On a scale of 1 to 10, with 10 being the problem is worse, and 1 being the problem is resolved, please rate your pet’s progress since the last evaluation:

Please tell us about your pet’s pain since their last exam:

On a scale of 1 to 10, with 10 being severe pain affecting all activities and limiting quality of life, , and 1 being minimal pain and no limitations to your pet’s activities please rate your pet’s progress since the last evaluation:

PLEASE UPDATE THE FOLLOWING ONLY IF THEY HAVE CHANGED SINCE LAST EVALUATION:

Please list all medications currently being given (include name, dosage, and frequency):

Please list all supplements currently being given (include the name/brand, dosage, and frequency):

Please list diet and treats given (include the name/brand, amount given, and how often):

Please provide us with an update on your pet’s current activity, including any home exercises that are being performed. Please be as specific as possible and include frequency, length of time and days of the week of each activity.  

Have there been changes in activity since the last evaluation?

Yes

If so, please explain:

Has your pet met the goals set at your last evaluation?

Yes

If so, please explain:

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Canine Sports Medicine & Rehabilitation Service Progress Report

PLEASE UPDATE THE FOLLOWING ONLY IF THEY HAVE CHANGED SINCE LAST EVALUATION:

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