Virtual Recheck Form in Charlottesville, VA | Virginia Veterinary Specialists

Owner's Name*

First Last

Best phone number to reach you?*

Pet's Name*

Your Surgeon*

Date of procedure*

Type of procedure*

How are things going at home? Any additional comments?*

Upload picture of the incision taken from 1-2 feet away, in good lighting.

Drop files here or

Video (30 seconds) leash walking towards and away from the camera

*Please restrict videos to under 30 seconds or the surgeon may not receive them.

Drop files here or

Comments

This field is for validation purposes and should be left unchanged.