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Adopter Medical Concern Form 

Adopter Medical Concern Form 

Forms received by HSSW Clinic Team

This form is intended for medical concerns of pets adopted from HSSW within 14 days. If  you have a medical concern for an animal adopted more than 14 days ago, please contact your family vet.

Please do not use this form to communicate emergency medical concerns.

If you have an emergency, contact a local emergency clinic. For a list of some local emergency/urgent clinics in our area, click here. Please note that the listing of clinics is provided as a resource only. HSSW does not guarantee service, hours, or availability of any clinics listed and other resources may be available in our community.

When completing the form, please ensure accurate and complete information. Our team will follow up with you as soon as possible.

Contact Information

Were you able to have your pet seen? Were you able to speak with anyone in the clinic? Have you made an appointment for your pet?

Diarrhea - Additional Information

Please clarify what treatment or food, how much and how often this is given.

URI - Additional Information

Please note number of days.

Please clarify what treatment or food, how much and how often this is given.

Inappetence - Additional Information

Please note number of days.

Other Concern
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