Dermatologie skin questionnaire Cat - Medisch Centrum Voor Dieren

Dermatology questionnaire cat

Stap 1 van 6

Name owner(Vereist)

Cat’s name(Vereist)

date of birth(Vereist)

Breed(Vereist)

Questions regarding medication your cat has been given to treat skin- and/or earproblems

Which medication at home has been administered to treat the skin related problems and what was the effect.

Name From and until when given Effect

Please, try to be a detailed as possible, meaning; when, for how long and how many tablets etc. The veterinarian’s referral letter might help.

Medication 2

Name From and until when given Effect

Medication 3

Name From and until when given Effect

Shampoos, ointments etc.

Name From and until when given Effect

Shampoos, ointments 2

Name From and until when given Effect

Shampoos, ointments 3

Name From and until when given Effect

Medication administered by your veterinarian (injections etc.)

Name From and until when given Effect

Medication administered by your veterinarian (injections etc.) 2

Name From and until when given Effect

Medication administered by your veterinarian (injections etc.) 3

Name From and until when given Effect