Patient Recheck Form

Name: Animal Rehab Center of Michigan
Address: 1490 Lochaven Rd, Waterford, MI, 48327, United States
Telephone: 248-363-5061
Price range: $

Complete your form online!

3

Owner's Name *

First

Last

Primary Phone *

Email *

Pet's Name *

1. Rate your dog’s pain. (0-10, 0 = no pain, 10 = extreme pain)

a. Which one number best describes the pain at its worst in the last 7 days.

Selected Value: 0

b. Which one number best describes the pain at its least in the last 7 days.

Selected Value: 0

c. Which one number best describes the pain at its average in the last 7 days.

Selected Value: 0

d. Which one number best describes the pain as it is right now.

Selected Value: 0

2. Which one number best describes how during the past 7 days pain has interfered with your dog’s: (0-10, 0 = does not interfere, 10 = completely interferes)

a. General Activity

Selected Value: 0

b. Enjoyment of Life

Selected Value: 0

c. Ability to Rise to Standing From Lying Down

Selected Value: 0

d. Ability to Walk

Selected Value: 0

e. Ability to Run

Selected Value: 0

f. Ability to Climb Up (for example Stairs or Curbs)

Selected Value: 0

3. Which response best describes your dog’s overall quality of life over the last 7 days? (Bad, Fair, Good, Very Good Excellent)

4. Do you need any medications or supplements refilled during your visit?

5. Do you have any questions, comments or concerns to discuss with the doctor?

Email

Michigan's first rehabilitation center.

We are dedicated to providing excellent care.

Location

1490 Lochaven Rd
Waterford, MI 48327
Click here for directions.

Hours

Monday - Friday: 8am - 8pm
(By appointment only)
Saturday: 8am - 6pm
(By appointment only)

Contact Info

Phone: 248-363-5061
Fax: (248) 363-1138
Email: rehab@unionlakepets.com

We’re conveniently located in the parking lot of Union Lake Veterinary Hospital and Pet Services!

Note: Consultations and rehabilitation therapy sessions are scheduled by appointment only (see below). Referral from your veterinarian is preferred so that we may provide you with the most complete service!

Get in touch!

Ready to come see us?

Request an appointment online! We can't wait to see you and your furry friends.

APPOINTMENT