GI Upset Exam Questionnaire

Gastrointestinal issues like vomiting, diarrhea, or changes in appetite can signal a wide range of health concerns for your pet. This questionnaire helps us gather important details about your pet’s recent health, diet, and environment so our team can quickly identify possible causes and provide the most effective care.

About This Form

By completing this GI Upset Exam Questionnaire, you provide our veterinarians with valuable background information that helps guide diagnostics and treatment. The more accurate your answers, the better we can tailor care to your pet’s needs.

Client Information

Please enter a valid phone number.

Patient Information

(We don’t judge — we only care about your pet’s health and how to help.)

Cats Only

Dogs Only

Diarrhea

Vomiting

Medications

Include Heartworm and Flea Prevention