Client Specific Outcome Measures

Please complete the form below prior to your initial consultation with the doctor, and before each doctor recheck appointment. This will help us track any changes in your pet’s pain or mobility levels.

Pick 3 activities that your dog has difficulty with or behaviors that have changed which you are concerned about (related to pain or mobility); be as specific as possible. For example: Going up stairs at the end of the day, or Jumping into the SUV (but can jump in the sedan), or Going for a walk more than 15 minutes if there are hills involved, or Does not get up to greet me when I come home any longer.

Client Specific Outcome Measures

  • Please enter today's date
    Date Format: MM slash DD slash YYYY
  • Select three activities and score them below