204-275-2038 info@centralvet.ca

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Diet History Form

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Fill out the form below.

Please Note: All fields marked with * are required. If you have any questions, please feel free to contact us.

Name of Owner *

Owner Phone Number *

Pet’s Name *

Age *

Breed *

Sex *

Female
Male

Neutered/Spayed *

Yes
No

Current Diet being fed- Please include any treats/toppings/human food etc *

How much do you feed daily? Please include amount of treats/toppings/human food etc *

What type of measuring device do you use? *

Do you give any dietary supplements? *

Yes
No

If yes, please list *

How long have they been on this diet? *

Any dietary sensitivities? *

Is your pet fed at certain times or free fed? *

Meals
Free feed

How many meals a day? *

Is your pet asking for more food after being fed? *

Yes
No

How active is your pet and what type of exercise? *

Would you like to try a weight loss specific food? *

Yes
No

Please note any additional questions or comments below

Ready to Visit?

We offer tele-triage services outside of normal clinic hours for all current clients and emergency on-call services for our large animal clients. We are located just outside of Winnipeg on the Perimeter highway three miles East of Oak Bluff. We are on call for emergencies on Sundays.

Contact Us

Contact us or complete the form below, and we’ll be in touch with you shortly!

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8092 Perimeter Hwy, Oak Bluff, MB, R0G 1N0, Canada

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Call or Text Us

P: 204-275-2038
F: 204-261-0556

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Email Us

E: info@centralvet.ca

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Hours

Mon- Fri: 7:30 am - 5:30 pm
Sat: 8:30 am - 5:30 pm
Sun: CLOSED

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