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Prairie Animal Hospital

Improving the human-animal bond through exceptional and individualized healthcare experiences.

Hospital Policies
Home
Our Services
Payment Plans
Emergency
Resources
Meet the Team
Follow Us
- Facebook
- Instagram

Telemedicine – Lameness/Injury Consult

Please complete this form prior to your scheduled telemedicine appointment.

Please enter Your Name *

First

Last

What is your Pet's Name? *

What is the phone number we have on file? *

What is the email address we have on file? (Note: Email on file must match the email on the PAH app in order to utilize the chat function) *

Where does your pet appear to be painful/sore/limping? (Please indicate left vs. right, limb/paw/hip). *

Does the injury/pain seem to be in the same area consistently? (i.e. same leg every time). *

Yes
No
I'm Not Sure

How long has it been bothering your pet? *

Please mark all the symptoms you have noticed (Select all that apply): *

Limping
Non-weightbearing
Not walking
Reluctance to walk
Reluctance to run
Reluctance to jump up
Reluctance to jump down
Reluctance to use stairs

Please mark when you notice the symptoms occurring (Select all that apply): *

All the time
After getting up from rest
After strenuous exercise
After jumping on/off something

Did these symptoms appear after an accident/injury? (i.e. jumped off the couch, playing with another dog, etc.). Please explain: *

Has your pet ever experienced a similar injury before? Please explain:

Has your pet ever had surgery for an injury? (Please indicate when, where and what kind of surgery)

Is your pet currently taking any medications/supplements? Please list them: *

By submitting this form, I give my consent to the staff and doctors at Prairie Animal Hospital to discuss my pet’s medical concerns on the PAH app as a telemedicine appointment. I acknowledge that not all concerns can be addressed using digital resources and I may still have to bring my pet in for an in-person physical exam as may be recommended by the veterinarian during the telemedicine appointment. *

I consent

Website

Contact Us

Email
records@prairieanimalhospital.com
Phone
208-772-3214
Fax
208-772-3386
Address
920 W. Prairie Ave
Coeur d' Alene, ID. 83815

Hours of Operation

Monday - Friday
7:30 AM- 6:00 PM
(Closed noon- 1:00 PM for lunch)

Closed on Major Holidays

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