Online FormsAt Animal Medical Center of Lehigh Acres, we offer patient forms online so you can complete them in the convenience of your own home or office.

Fax us (239)368-7220 your printed and completed forms or you may bring them during your visit.


Admission Questionnaire – Download or Submit Online

Are we admitting your pet into our hospital? Fill out this simple Admission Questionnaire in advance for your convenience.


Allergy-Itching Questionnaire – Download or Submit Online

Please bring this in at your appointment time for pets that are itching are having skin problems.


Boarding Admission – Download or Submit Online

Please review and sign prior to your pet’s boarding reservation.


Cognitive Dysfunction Syndrome Questionnaire – Download

If your dog is over the age of 8, please take a few minutes to complete a Senior Dog CDS Checklist that you can print and take to your appointment.


Feline Inappropriate Urination Questionnaire – Download or Submit Online

Please bring this Questionnaire to your cat’s appointment if she/he has been urinating inappropriately outside of the litter box.


Financial Policy – Download or Submit Online

All clients must have a signed Financial Policy on file with us at AMC. Please review, sign, and return to us.


Group Play Agreement & Release of Liability – Download or Submit Online

Interested in a group play session while your pet is boarding? Please review, sign, and return this form.


Medical History Questionnaire – Download or Submit Online

Will your pet be participating in group play sessions? Please answer the questions on this form and return to us.


New Client Registration Form – Download or Submit Online

Please fill this form out and bring it with you for quicker check in.


Pet Quality of Life Scale and Daily Diary – Download

Use the key factors of quality of life below to help assess your pet’s condition. Use the Daily Diary to keep track of your pet’s progress.


What Is Making My Dog So Itchy Questionaire – Download

Please bring this in at your appointment time for pets that are itchy or having skin problems.


Sleeping Respiratory Rate Log – Download

Please review and fill out this SRR Log as directed by your veterinarian.