All Creatures Canine Dermatology History
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Primary concerns about your dog's skin:
When was the problem was first noticed
How did the problem start:
Does your dog itch or lick excessively or over-groom?
During the night only
What time of year most itchy?
What part(s) of your dog is most itchy?
Where does your dog spend most of his/her time?
% indoor / % outdoor
What other pets live in your household?
Describe your pet's diet (including name of food, snacks & treats)
What flea control do you use and how often? Do all the pets receive the same flea control at the same intervals?
How often do you bathe your dog?
Does your dog go swimming?
What medications is your dog taking at this time?
What other health problems does your dog have?
What previously prescribed medications have been of benefit?
Please share any additional information that you think is important.
NOTE: BE SURE TO BRING THE PREVIOUS MEDICATIONS, PILLS, OINTMENTS, EAR CLEANERS, SHAMPOOS, EVEN IF EMPTY TO THE CONSULTATION. DO NOT BATHE YOUR DOG WITHIN 5 DAYS, DO NOT CLEAN OR TREAT EARS WITHIN 2 DAYS OF YOUR DOG'S APPOINTMENT.
Should be Empty: