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Medical History


Please fill out all the fields.

Contact Information

MY PET’S ANAMNESIS OR CLINICAL HISTORY

Anamnesis is the information that the pet owners provide about their pet, symptoms, signs, or abnormal behaviors associated with an illness. Your information together with the physical exam and the lab tests are the tools that help us arrive at a diagnosis.


Yes No I Don’t Know Details
Shots up to date
Tick control
Heartworm control
Last time in heat /was bred
My pet is neutered/spayed
Has behavioral issues
Has chronic illness
Is currently taking medication
Surgeries had in the last 3 months

Normal Increased Decreased Absent Other-Specify
Appetite
Drinks water
Hair and skin
State of alertness
Stool
Vomiting
Urine
Foul odor
Mobility
Pain
Itchiness







Family & Housing

Any additional information or special instructions please write below.


It is imperative that you call 1877-787-7728
after the application is filled out.

100% of donations goes towards the animals!



IMPORTANT:

  • Please make sure your pet does not eat nor drink after 8 am
  • Please bring a crate for your pet
  • Please bring a rabies certificate, if you have one.
  • Stitches will need to be taken out two weeks post surgery, call 1-877-787-7728 to schedule.

Together we can all say We Saved A Puppy!



We Saved A Puppy is a non-profit organization founded in May 2017. It’s making a difference in the lives of Tijuana’s abandoned pets by providing medical care, food, & loving forever homes. Please share our store with your friends to help us in our rescue work.