Diabetic Check In Protocol

Please Fill In The Form Below

Please fill out the form below to help us with the needs of your diabetic pet.

Reservation Request

Owner First Name

Last Name

Phone

Pet's Name

Name of Insulin

Type of Syringes

Does the Insuling need to be refrigerated?

Yes

How many vials of Insulin are being left?

How many syringes?

U40

U100

Other

Insulin Given At

How many units?

Last time Insulin was given:

Was it given with food?

Yes

Last time fed?

What type of food?

How much at each feeding (AM)?

How much at each feeding (PM)?

How many Cans is being left?

How many Dry food is being left?

How have they been eating at home recently?

Last check-up/Diabetes monitoring/Glucose Curve

Authorized food options if your pet is not eating:

Canned I/D

Canned W/D

Other*

Anything the pet will eat

Comments

* We may offer less diabetic-friendly choices to entice your pet to eat. (Rotisserie chicken, tuna, browned ground beef)

**If insulin or syringes are needed to be refilled during pets stay a Doctors exam will be required through Hill Country Animal Hospital or your regular veterinarian.

Diabetic Check In Protocol

Please Fill In The Form Below

Reservation Request

Page Links

Reception Hours

Address