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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 – Medication Follow-Up

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 email on the PAH app in order to utilize the chat function.) *

Please list all medications/supplements your pet is currently taking: *

How has your pet been feeling since starting the new medication? *

Better
The Same
Worse

Have you been able to consistently administer the medication as prescribed? *

Yes
No
It's been difficult to administer

Has your pet been eating/drinking normally? *

Yes
No

Have you noticed any signs of GI Upset? (Select all that apply) *

Vomiting
Diarrhea
Inappetence
None of the Above

What other pertinent information would you like the doctor to be aware of? *

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

Name

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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