116 Goodwin Road
Durham, NC 27712

(919) 471-0308
Med refill (919) 709-7251

Monday – Friday 8 a.m. to 6 p.m.
Saturday 8 a.m. to 1 p.m.
Closed 1st & 5th Saturdays each month

frontdesk@enoanimalhospital.com

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116 Goodwin Road Durham, NC 27712
(919) 471-0308
frontdesk@enoanimalhospital.com

Monday – Friday 8 a.m. to 6 p.m.
Saturday 8 a.m. to 1 p.m.
Closed 1st & 5th Saturdays each month

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Wellness Exam

We look forward to seeing you!

Wellness Exam

Please complete this before your visit. If you have any questions, please feel free to contact us!

Pet parent's name *

Primary phone *

Secondary phone

Email *

Preferred method of contact *

Pet's Name *

My pet lives *

Indoors
Outdoors
Both

Regular diet (brand and type) *

Amount fed per day *

How long has your pet been on his/her current diet? *

Do you give your pet any treats? *

Yes
No

Do you give your pet any people food? *

Yes
No

Indicate any applicable health symptoms and their severity

Weight *

Gain
Loss
No Change

Is the change in weight

Mild
Moderate
Severe

How long have you noticed the problem? *

Appetite *

Increase
Decrease
No Change

Is the change in appetite

Mild
Moderate
Severe

How long have you noticed the problem? *

Drinking *

Increase
Decrease
No Change

Is the change in drinking

Mild
Moderate
Severe

How long have you noticed the problem? *

Urinating *

Increase
Decrease
No Change

Is the change in urination

Mild
Moderate
Severe

How long have you noticed the problem? *

Activity level *

Increase
Decrease
No Change

Is the change in activity level

Mild
Moderate
Severe

How long have you noticed the problem? *

Does your pet have any lumps/tumors? *

Yes
No

Does your pet have any skin problems? *

Yes
No

Does your pet have bad breath/difficulty chewing? *

Yes
No

Any scratching/chewing/sneezing? *

Yes
No

Any behavioral issues or changes? *

Yes
No

Vomiting? *

Yes
No

Any new pets in the house? *

Yes
No

Is your pet on heartworm prevention? *

Yes
No

Is your pet on flea and tick prevention? *

Yes
No

Is your pet currently taking any medication? *

Yes
No

Please list any existing medical conditions.

Any other problems or concerns?

Do you authorize Eno Animal Hospital to perform diagnostics and/or treatment as deemed necessary and appropriate by a veterinarian up to $200? *

Yes
No, call me first

If your pet is new to Eno, do you have your pet's medical records? (Please check "No" for established patients, as we already 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...

Signature *

Clear Signature

Date *

Name

Eno Animal Hospital: Your Other Family Doctor

For more than 30 years, Eno Animal Hospital has been a trusted partner for pet parents seeking exceptional veterinary care and compassion in Durham, Bahama, Butner, Rougemont, Creedmoor, and surrounding communities.

At Eno Animal Hospital, your pet’s wellness is our priority. We’re Fear Free pros who believe in caring for the whole pet. We have everything your pet needs under one roof. Book your first visit today and get $40 off! Put your pet in the best hands at Eno.

Eno Animal Hospital offers wellness care, treatments, surgery, dentistry, lab work, laser therapy, acupuncture, grooming, boarding, and more in Durham, Bahama, Butner, Rougemont, Creedmoor, and surrounding communities.

SAY HELLO!

We’d love to hear from you!

Name *

First

Last

Email *

Phone

How can we help you? *

Name

We Proudly Serve Pets of Durham, NC, and Beyond

Bahama
Rougemont
Creedmoor
Butner

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PROUD TO BE FEAR FREE!
We’re a Fear Free hospital because Fear Free is best medicine.