Hyperthyroidism Monitoring
Medication Monitoring
Cat’s Name
*
Your Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Time methimazole was last given:
*
Methimazole dose given:
*
Time of last meal:
*
Please tell us about your cat’s diet.
*
Please tell us about any treats, dental chews, and human food your cat receives.
*
Has your pet experienced any of the following (Mark all that apply):
*
Anorexia
Vomiting
Itching
Swelling
Lethargy
Depression
Skin Lesions
Other
Has your pet experienced any of the following (Mark all that apply):
*
Excessive appetite
Hyperactivity
Anxiousness
Excessive water consumption
Excessive urination
Vomiting/diarrhea
Unthrifty hair coat
Other
Have the symptoms of hyperthyroidism your pet was experiencing improved?
*
Yes
No
Unsure
Other
Please describe concerns you that would like to discuss with the doctor during your visit.
Submit
Should be Empty: