"*" indicates required fields Patient Name:*Owner's Name:*Phone*Email* Oncologist (choose one): Dr. Kristin Kicenuik Dr. Allison Gedney How has your pet been doing since the last visit?How is your pet’s appetite?Is your pet exhibiting any of the following: Coughing Sneezing Vomiting Diarrhea Lethargy (decreased energy) Increased Thirst Decreased Thirst Limping Urination: Normal Urination: Abnormal If you checked any options above, please elaborate:Please confirm your pet’s current medications and dosing:Do you need any medication refills? If so, where would you like them filled? Please provide pharmacy phone number.Are there any new concerns or things you would like addressed at this appointment?Has your pet been seen by the primary care veterinarian or the emergency department since the last oncology appointment? If so, please list dates and reason for visit so we can obtain records prior to appointment.If you have any further questions before your pets next appointment, please email us at oncology@lancasterpetemergency.com.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
