Patient Check-In

Please fill out the form below before your visit with us here at Back on Track!

Name

First Name

Last Name

Pet's Name

Today's Date

YYYY

Appointment Date

YYYY

How is your pet doing overall? Any new concerns?

Has your pet visited any clinics, vets, specialists, etc. since their last visit?

What do you normally feed your pet? Any changes to your pet's diet or appetite? Any changes to their potty habits?

Has your pet had any slips, falls, or injuries since the last time you visited?

What has been your pet's general activity level (including length, time of walks)?

Have you noticed fatigue or soreness during or after activity?

What is your pet's overall pain/comfort level daily?

Which home exercises have you been doing with your pet and how often? Any concerns or questions about recommended exercises?

Please list all current medications & supplements (including dosage & frequency). Any recent changes to medication?

Please state any questions, comments or concerns about your pet for Dr Shaw to address?

Back on Track Veterinary Rehabilitation Center, LLC

Back on Track Veterinary Rehabilitation Center takes a comprehensive, " wholistic" approach to building and maintaining healthy activity for your pet. We have provided physical therapy techniques for pets throughout the Pacific Northwest since 2001. Dogs and cats enjoy our gentle manual techniques and acupuncture in a relaxing setting designed for their comfort.

Back on Track Veterinary Rehabilitation Center, LLC
9045 SW Barbur Blvd #130 Portland, Oregon 97219
(503) 546-8995
backontrackvetrehab@yahoo.com

Fun Facts about our patients

Patients 95% dogs, 5% cats
Oddities alpaca, duck, goat, rat, lamb
Top Breeds Goldens, Labs, GSDs, Corgis, Dachshunds, Newfs
Oldest dog seen at BOT 19
Oldest cat seen at BOT 19

BOT Patient Occupations

Police dogs
Service dogs
Therapy dogs
Herding/Field trialing
Racing/Lure coursing
Tracking
Search & Rescue
Nose work/Barn hunting
Agility
Running/Hiking
Carting/Skijoring
Couch Potato

Fun patient names

Kitchen
Boss Hawg
Cracker
Aristotle
Monkey
Pelican
Whistle Pig

Patient Check In

Patient Check-In

Back on Track Veterinary Rehabilitation Center, LLC

Fun Facts about our patients

BOT Patient Occupations

Fun patient names