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Honma Pet Clinic
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Free consultation for people all over the world with vets at Honma Pet Clinic
This is a free service we 『Honma Animal Clinic』 voluntarily provide,
and you will not be charged at any time.

We also accept business talks from you.
Please follow the directions below.

Please enter the following information for accurate medical examination.
Preferred title
First name /Last name
Country
Street address
Apt.suite/ City/ State/ Zip code
Phone number   xx-xxxx-xxxx
Fax   xx-xxxx-xxxx
Cell phone   xxx-xxxx-xxxx
Email address @   xxxx@xxxx.xxx
Would you like to receice our free newsletter via email? yes  no
Pet's name
Breed dog  cat  other
breed eg. Golden Retriever etc
Sex male  female
Pet's birthdate and age / / mm/dd/yy
age years old
Skin color
Size large medium small
Sterilization never done
Registered number
What you need help for About prescription diet
About preventive medicine
We will sent you veterinary advice via email
Where you got a pet from petshop
home delivered
giveaway
other
Where a pet sleeps(stays) outdoor
indoor
other
Health condition (appetite) yes no
(vigor) yes no
(vomit) yes no
other
Vaccination Vaccinated
type:
other
date of vaccination / mm/yy

never vaccinated
filarial vaccine
 (dog only)
done
administration period: - yearly mm-mm
type of medicine: jerky pill liquid
this year: already started haven't started yet

never
allergy yes : indicate
none
diet dryfood
moist and dry(half raw)
can
jerkey as main diet
homemade
If your pet has any history,
please describe with details.(when,what symptom etc.)

 


 

 

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