Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary phone *

Secondary phone

Email *

Pet's Name *

Species *

Age/Date of birth *

Sex *

Male
Male (neutered)
Female
Female (spayed)

Previous vet *

If not applicable, please write N/A or None.

Additional Information

Is your pet experiencing any problems or issues? Anything we should know about your pet? Please provide as many details as possible so we can create the best treatment plan.

Do you have your pet's medical records? *

Yes
No

Medical Records

Click or drag a file to this area to upload.

What insurance should we send the visit records to? *

My pet does not have insurance.
Please send to...

Please send to...

Fear Free Pre-Visit Questionnaire

As Fear Free Certified Professionals, we want to make your pet’s veterinary experience as happy and stress-free as possible. It’s essential to understand what your pet might find upsetting. The information you provide will help us adjust our care to best serve and comfort your pet.

Please answer all the following questions so your Eno team can take into consideration, and take to heart, your pet’s preferences.

Does your pet show any reluctance to getting in the carrier? *

Yes
No

What restraint does your pet use to travel in the car? E.g., carrier, seatbelt, harness, loose, etc.? *

During travel to the veterinary hospital, does your pet show any of the following behaviors? *

Other *

Does your pet prefer: *

Female veterinary professional
Male veterinary professional
It doesn't matter

Check any situations listed below that your pet has shown avoidance or dislike of in the past.

How would you describe your pet around other animals and people? *

Does your pet have any sensitive areas that s/he does not like to have touched by you or others? *

Are there any procedures your pet has not liked having performed at the veterinary hospital in the past or that seemed difficult for you or the veterinary team to do (e.g., nail trim, weight, temperature, ear exam, blood draw)? If so, how did your pet react? *

What are your pet’s favorite treats? Please bring these treats to your Eno visit. *

Does your pet like to play with toys? If so, what kinds? *

Has your pet ever been prescribed any supplements or medications to help with a visit to the veterinary hospital? If so, what was it and what sort of results did you experience? *

Anything else you would like us to know? *

Do you have another pet coming to see us?

Please submit an individual New Pet form for each fur baby.

I understand payment is due at the time of services rendered and agree to the terms herein.

Signature *

Clear Signature

Date *

Online Forms

New Eno Pet Parent Form

New Eno Pet

Fear Free Pre-Visit Questionnaire

Eno Animal Hospital: Your Other Family Doctor

SAY HELLO!

We’d love to hear from you!

We Proudly Serve Pets of Durham, NC, and Beyond

Online Forms

New Eno Pet Parent Form

New Eno Pet

Fear Free Pre-Visit Questionnaire

WANT TO BEAT PESKY PARASITES? Get parasite prevention!

WANT TO BEAT PESKY PARASITES?
Get parasite prevention!