TPLO/TTA Surgery Form

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Pet Name
Species
Sex
Date of Birth
(mm/dd/yy)
Breed
Weight
Your Vet Clinic
Phone
Fax
Recent Bloodwork
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Date Done?
Recent X-rays?
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Date Done?
When did the injury happen?
How did the injury occur?
Is he/she currently on meds?
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If so, what kind?
Diagnosis
Treatment done at referring hospital
Treatment Requests for Allwest Animal Hospital

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Allwest Animal Hospital

Phone: (604) 870-9333 Address: 108-2526 Yale Court, Abbotsford, BC V2S 8G9

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