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

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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