Owner Name (First and Last)*
Pet Name*
When walking on a leash, is your pet bearing weight on the surgery leg? (Yes/No; If "No", please provide an explanation.)*
Are you doing PROM stretches? (Yes/No; How many times a day?)*
Are you applying ice/heat? (Yes/No; How many times a day? How long?)*
If instructed to do so, how many times a day is the patient going on leashed walks? How long are these walks?*
Is your pet eating normally?*
Are bowels movements normal?*
Urination is normal?*
Any vomiting?*
Any diarrhea?*
Has the cone we provided been on at all times? If No, please explain.*
Is your pet taking all medications as prescribed? If no, please list medication and the reason why not.*
What type of confinement are you doing? (Example: crate, pen, etc; plus # hours per day)*
Do you have any concerns or questions you wish addressed at your recheck appointment?*

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9231 Burnet Rd, Suite 102
Austin, TX 78758

Mon 7 am – 5 pm
Tue 7 am – 5 pm
Wed 7 am – 5 pm
Thur 7 am – 5 pm