Phenobarbital Monitoring For Dogs

Phenobarbital Monitoring For Dogs

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Dog’s Name

Your Name *

First

Last

Email *

Phone Number *

Current dose of Phenobarbital:

Frequency at which Phenobarbital is given: *

Time of last dose: *

Please tell us about your dog’s diet. *

Please tell us about any treats, dental chews, and human food your dog receives. *

Phenobarbital Dog’s given:

Time of last meal: *

How many seizures have occurred since last visit? *

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