Hypothyroidism Monitoring
Medication Monitoring
Dog’s Name
*
Your Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Time Thyro-tab was last given:
*
Thyro-Tab dose given:
*
Time of last meal:
*
Please tell us about your dog’s diet.
*
Please tell us about any treats, dental chews, and human food your dog receives.
*
Has your pet experienced any of the following (Mark all that apply):
*
Excessive water consumption
Excessive panting
Restlessness
Excessive weight loss
Other
Have the symptoms of hypothyroidism your pet was experiencing improved?
*
Yes
No
Unsure
Submit
Should be Empty: