New Holistic Patients:
Integrative Informed Consent FormDownload & Print Form
LPWC System Survey Sheet
There is a different survey for dogs and cats. Please fill this out prior to your pet's Initial Holistic appointment and bring it in with you. We recommend this for every Integrative patient 5 years or older annually. This survey allows us to identify vitamin and mineral imbalances and organ distress in your pet.
The survey instructions are for each group, circle the number that applies. If a symptom doesn't apply, then leave it blank. Use (1) for MILD symptoms (occurs once or twice a month), (2) for MODERATE symptoms (occurs several times a month), and (3) for SEVERE symptoms (you are aware of it almost constantly).
Feline System Survey Sheet
Canine System Survey Sheet