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Coughing and/or Sneezing Questionnaire

You have chosen for your pet to have an exam to diagnose the cause of his/her coughing/sneezing problems, and also, if necessary, vaccinations and testing and minor medical procedures. You authorize us to do so without your presence. Please take a moment to thoroughly fill out the following questionnaire regarding your pet's condition so that we can make sure we are taking the best possible care of your pet.