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Haverfordwest
01437 760111
Clarbeston Road
01437 731327
Fishguard
01348 874291
St David's
01437 721375
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Select a surgery:
Haverfordwest
Clarbeston Road
Fishguard
St David's
Select a surgery:
Haverfordwest
Clarbeston Road
Fishguard
St David's
Pet Details
Owner's Name:
Pet's Name:
Owner's Phone Number:
Client Number:
Today's Date:
Calendar
Breed of Pet:
Pet's Age:
Sex:
Male
Female
Mobility
Generally
How is your dog’s mobility in general?:
Very good
Good
Fair
Poor
Very poor
How disabled is your dog by his/her lameness?:
Not at all disabled
Slightly disabled
Moderately disabled
Severely disabled
Extremely disabled
How active is your dog?:
Extremely active
Very active
Moderately active
Slightly active
Not at all active
What is the effect of cold, damp weather on your dog’s lameness?:
No effect
Mild effect
Moderate effect
Severe effect
Extreme effect
To what degree does your dog show stiffness in the affected leg after a ‘lie down’?:
No stiffness
Mild stiffness
Moderate stiffness
Severe stiffness
Extreme stiffness
At exercise, how active is your dog?:
Extremely active
Very active
Fairly active
Not very active
Not at all active
How interested is your dog in exercising?:
Extremely interested
Very interested
Fairly interested
Not very interested
Not at all interested
At exercise
How would you rate your dog’s ability to exercise?:
Very good
Good
Fair
Poor
Very poor
What overall effect does exercise have on your dog’s lameness?:
No effect
Mild effect
Moderate effect
Severe effect
Extreme effect
How often does your dog rest (stop/sit down) during exercise?:
Never
Hardly ever
Occasionally
Frequently
Very frequently
What is the effect of cold, damp weather on your pet’s ability to exercise?:
No effect
Mild effect
Moderate effect
Severe effect
Extreme effect
To what degree does your dog show stiffness in the affected leg after a ‘lie down’ following exercise?:
No stiffness
Mild stiffness
Moderate stiffness
Severe stiffness
Extreme stiffness
What is the effect of your dog’s lameness on his/her ability to exercise?:
No effect
Mild effect
Moderate effect
Severe effect
Extreme effect
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About Us
Meet the Team
Facilities
Register Your Pet
Careers
Pets
Services
Digital Mobility Assessment
Wellness Screenings for Pets
Pre-operative info
Pet Advice
Blog
Insurance
Pet Nutrition
Euthanasia
Farm
Services
Export Certification
FAQS
Hydrotherapy & Rehabilitation
Hydrotherapy
Hydrotherapy Referral Form
Laser Therapy
Rehabilitation & Regenerative Therapies
Pet Health Club
Pay Online
Online Shop
Contact Us
Emergency
Repeat Prescriptions
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Emergency
Digital Mobility Assessments
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