Online Forms

Pre-Addison’s or Cushing’s Monitoring Form

Thank you for choosing Creekside Veterinary Hospital! Please fill out this form as completely and accurately as possible before your scheduled appointment with us.

Name *

First

Last

Phone *

Email *

Do you think your dog has drunk: *

Less than normal
Normal
More than normal (1 to 2 times normal)
Very much more than normal

Do you think that the volume of urination is: *

Less than normal
Normal
More than normal (1 to 2 times normal)
Very much more than normal

Would you describe your dogs appetite: *

Very poor (not eating at all or hardly eating)
Poor (does eat some food but requires encouragement)
Normal

How often has your dog had sickness and diarrhea? *

Never had sickness or diarrhea
Has had sicness or diarrhea once
Has had sickness or diarrhea more than once but not every day
Has had sickness or diarrhea every day

How active is your dog? *

Lies in one place nearly all of the time
Goes for walks and will also play on occasions
Very active, happy to run off-leash but does get tired
I cannot tire my dog out!

How would you describe your dog's coat and skin condition? *

Very poor (e.g., thin coat, bald patches, very dull)
Poor (e.g., slightly thin coat, hairs dull)
Reasonable (e.g., no bald patches, slightly dull)
Very good (e.g., thick coat, shiny, no dandruff)

Does your dog have any of the following? *

Trembling/shaking/muscle twitches more than once a week
Persistent panting even at rest
Pain (anywhere)
Difficulty moving
Mental depression

How do you feel your pet enjoys life? *

Miserable most of the time
Has more bad days than good days
Happy most of the time; occasional bad days
Happy all of the time

How good do you feel your dog's current treatment for Cushing's is *

My dog has more clinical signs than before treatment
There is no difference now than before treatment
There is some improvement since starting treatment
My dog is nearly back to his/her normal self
If I did not know, I would think there was nothing wrong with my dog now

Ready to visit?

we know that pets are family.

We believe you deserve compassion, integrity, and collaboration with each step of your pet’s life. Come meet us! We can’t wait to help you and your pet.

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Have a question?

Contact us

Complete our online form, and we will be in touch with you shortly.



Address

2987 Hunting Dr. NW, Cleveland, TN 37312



Contact

E: [email protected]
P: 423-709-7979
T: 423-799-2937



Hours

Mon: 8 am – 6 pm
Tue: 8 am – 6 pm
Wed: 8 am – 1 pm
Thu: 8 am – 6 pm
Fri: 8 am- 6 pm

** Our hours are set to expand! As soon as we can grow to add more employees and doctors, we will be offering even more hours for your convenience and for your pet’s urgent needs! **

Name *

First

Last

Email *

Phone

How can we help you? *

Name

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