C10005904 / invoice 10000

09/03/2026 What is the main reason for a rehabilitation consultation?
Evaluation and hopefully improved quality of life
Referring vet details
Doubleview Vet Centre
Where is your pet's injury? (if known/relevant)
hips, lower back
What goal do you hope to achieve for your pet through rehabilitation?
Improved quality of life
Do you consider your pet dangerous in any way?
no
Current medications:
Meloxicam, Neurontin (Gabapentin)
Current supplements:
Do you consider your pet
Normal weight
Has your pet had any orthopeadic surgery?
No
If yes – date?
Has your pet got any medical issues currently being treated/managed?
What exercise does your pet currently do? (Please include duration and number of times per week)
On walks do you use a
Please select all that apply to your pet’s change in movement

Difficulty rising from lying

Difficulty rising from sitting

Difficulty sitting down

Difficulty getting up from sitting or lying down

Sits sideways leaning to right

Sits sideways leaning to left

Not weight bearing

Limping when walking

Limping when trotting

Limping when running

Difficulty jumping into car

Difficulty getting up steps

Difficulty getting down steps
Does your pet swim?

Wades in shallow water
Where and on what does your dog sleep (bedding type/place)?
Grass, Carpet, ground
What flooring is your pet exposed to inside?
carpet
What flooring is your pet exposed to outside?
grass, paving
Do you have other pet’s at home and do they interact with this one?
No
Any other changes in the way your pet moves?
Any changes to bowel or bladder function? Ie: signs or urinary or faecal incontinence?
No
Is there anything else you feel is relavent

Last 6 months or so has gradually lost all movement in HLS 
Last 3-4 months unable to use HLs at all - urinary incontinence, also faecal 
Unable to get up from lying down 
O is cleaning him all the time