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  • Please only fill out this form if you have a cardiology consultation booked with Pacific Coast Veterinary Cardiology. If not, please discuss a cardiology referral with your family veterinarian.

  • Please take the time to complete the history form at least 2 days prior to the planned consultation. This will give me important details about your pet’s condition and will allow me to provide optimal recommendations. 

  • To fill out the form you will need the following details: your pet’s respiratory rate when sleeping (please follow the instructions on how to measure your pet’s respiratory rate), a list of current medications and, if you have, a short video of any transient symptoms you may have witnessed at home (such as fainting episodes). 

If you are having trouble viewing the form, please click here

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