Stacy McVicker, DVM, CCRT, CVA
Marie Bartling, DVM, CVA, CVC
Merry Gibson, DVM, CVA, CCRT
Kelli Koga, PT, MS, CCRT
Kristen Purcell, CVT, CCRP
Candice Brueck, MPT, CCRT
562 E Castle Pines, Suite C5
Castle Rock, CO 80108
Email: email@example.com Web: www.animalcarectr.com
Welcome to our practice and thank you for entrusting your pets to our team. This form contains the following documents in order to ensure your experience is a good one and that we are prepared for your upcoming appointment:
When you fill out this form, it will go directly to us. Please complete the form as soon as possible as it will allow us to better prepare to provide the best care for your pet. We will get in touch with your primary care veterinarian(s) directly to request your pet's medical records if necessary.
Please let us know what we can do to help you in the time leading up to your pet's appointment. Our address is 562 E Castle Pines Pkwy, Suite C5, Castle Pines, CO 80108.
We are looking forward to meeting you and your pet!
The Team at The Animal Rehabilitation and Wellness Center
Primary owner (your pet's medical record will be under this person)
Thank you for consulting with The Animal Rehabilitation and Wellness Center about your pet. We rely on good diagnostics to pinpoint the cause of your pets condition. We will request records from your current veterinarian or surgeon if applicable to incorporate diagnostics already performed. If other diagnostics are needed, they can be performed with your primary veterinarian or here at ARWC.
We are committed to working with every pet and pet parent in making the decisions that are best for your pet’s care. Please sign the box below to indicate that you have read this and understand the importance that good diagnostics can play in your pet's recovery.
Brief Pain Inventory Questionnaire
This scale is used to understand the impact that pain may have in their day to day lives and what treatments we can use to assist with helping your pet live a more comfortable life.
Pain Scale- The scale starts at 0 with no pain and ends at 10 with extreme pain.
0 is No interference to 10 Severe interference
Choose a number that best describes how during the last 7 days PAIN HAS INTERFERED with your pet's:
Rehabilitation Treatment Plan
The list below helps us prepare for areas you may have already researched that you would like to discuss with your doctor. Please feel free to leave this section blank otherwise