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Appointments for skin, ear or allergy concerns:

If your appointment has already been scheduled, please complete the following questionnaire prior to your appointment.  Thank you!

Skin Questionnaire

What problems does your pet have?
Rate itch level
Select top three most affected areas on your pet's body and/or where your pet is the itchiest:
When does the problem occur?
Has your pet received the following medications previously?

Thanks for submitting! We look forward to seeing you soon!

520 E. Baltimore St. STE. 200  Taneytown, MD 21787   410-751-0091

© 2014 Antrim Veterinary Hospital

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