ALL outside prescriptions require 48hr notice. If one must be expedited there will be a $75.00 fee.

Progress Exam Form

Complete your required progress exam form online from any device at any time.

Progress Exam

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.
Thank you!

Owner Name *

First

Last

Phone *

Email *

Pet's Name *

Who should we contact to make medical decisions today? *

Owner (Named Above)
Someone Else (Named Below)

Name *

First

Last

Phone *

Email *

Does your pet enjoy visiting the veterinary clinic?

If not, what are your concerns about the visit today?

How has your pet been since the previous appointment for this concern? *

Better
Worse (please elaborate)
No change noted at home

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

Eating (increased or decreased appetite)
Drinking (increased or decreased)
Weight Loss
Weight Gain
Itching/Scratching
Shaking Head
Bad Breath
Vomiting
Diarrhea
Urination Issues
Excessive Sleeping
Scooting
Difficulty Rising
Skin Masses (explain below)
Car Sickness
Behavioral Problem
Other (explain below)

If there are concerns, how long has your pet been experiencing this problem and what symptoms have they been experiencing? *

Has your pet ever had any adverse reaction to any medications, vaccination, or other procedure? *

Is your pet on any medications? *

Do you need any of the following for Flea/Tick/HW/Internal parasite prevention

Simparica™ (monthly oral flea, tick, and mite (mange) prevention for puppies over 8 weeks and adult dogs)
Iverhart Max™ (heartworm prevention for dogs)
Bravecto™ (external parasite prevention for cats)
Profender™ (internal parasite treatment for cats)
None

Once your pet’s exam is completed, we will review the exam findings and recommendations. I understand that financial responsibilities for services rendered are due at the time of discharge. *

I have read and understand
I have read and agree

Many of our patients love peanut butter as a snack while visiting our office, but if you or your pet have an allergy to peanut butter, please let us know. Can your pet have peanut butter? *

Drop off appointments: A drop off appointment is available if you are unable to wait at the practice for the duration of your pet’s visit. Please note that there is an additional charge for this service as your pet will be cared for and housed in a kennel until they are able to be picked up. If you need to leave your pet for their appointment, please inform the team member who greets you when you first arrive. *

I have read and understand.

Social Media/Photo Permission: Do we have your permission to post photos of your pet online? *

I certify that I am 18 years of age or older and responsible for the financial and medical decisions for the above-mentioned pet. *

I agree
I Disagree

Signature *

Clear Signature

Date *

Ready for a visit?

We proudly serve the pets of Calhan, Peyton, Falcon, Simla, Ramah, Elbert, and surrounding areas. We look forward to seeing you and your pet. Request an appointment for your pet by clicking the button below!

Appointment Online Pharmacy

Have a Question?

Complete our online form, and a member of our team will be in touch with you shortly.

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WHERE TO FIND US

13425 N. Calhan Highway,
Calhan, CO 80808

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Contact Information

P: 719-347-2702
E: questions@calhanvet.com

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Hours

Mon–Fri: 8:00am – 5:00pm
Sat & Sun: Closed

After hours services may be available pending staffing. Please call 719-347-2702 for availability.

Name *

First

Last

Email *

Phone

How can we help you? *

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