Tampa Palms
Patient Forms

New Patient Form

• New Patient Information

Annual and Semi-Annual Healthy Patient Survey Forms

• Canine Annual Health Survey (for your dog’s regular annual and Semi Annual healthy pet visit)
• Feline Annual Health Survey (for your cat’s regular annual and Semi Annual healthy pet visit)
• Avian Annual Health Survey (for your bird’s regular annual and Semi Annual healthy pet visit)
• Rabbit Annual Health Survey (for your rabbit’s regular annual and Semi Annual healthy pet visit)
• Exotic Annual Health Survey (for your exotic’s regular annual and Semi Annual healthy pet visit)
• Diet History Form (for Annual and Semi-Annual Healthy pet visit and any other visit when you wish to discuss your pet’s diet, weight or nutrition)
• Pain Assessment Form (for Annual visit and any other visit when you wish to discuss your pet’s pain or discomfort)
• Diabetic Supplemental Release Form (to be completed IN ADDITION to any other form if your pet is diabetic)

NOTE: If your pet is on medications that were prescribed by another animal hospital, please provide copies of the related medical records.

Our medical staff will review the medications and the medical records. If your pet has not been examined by one of our veterinarians within the last 12 months, one of our veterinarians may need to examine your pet in order to ensure optimal care and safety during your pet’s stay with us.  If an examination is performed, normal fees would apply.

Early Admission

• Early Admission Form (for any visit when your pet is being left with us for the day, and is NOT having any sedation or anesthesia)

Examinations for Skin or Ear Concern Forms

• Dermatology History (for any visit when your dog or cat needs to have their skin or ears examined)

Dental Procedure Forms

• Dental Procedures Release Form (for any dental procedure)

Surgery or Procedures requiring Anesthesia or Sedation

• Surgery/Anesthesia Informed Consent Admission Form (for any procedure requiring sedation or anesthesia)

Canine Physical Rehabilitation Form

• Rehabilitation Referral Form

Rescue Organization Forms

• Lab Rescue Check-in Hospital Form (for Labrador Rescue Group only)