(760) 456-9556

195 N. El Camino Real
Encinitas, CA 92024

clientservices@thedrakecenter.com

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Office Hours:

Mon - Fri 7 am - 7 pm
Sat 7 am - 5 pm
Sun 8 am - 5 pm

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Traditional Chinese Veterinary Medicine (TCVM) History Intake Form

Thank you for choosing integrative care at The Drake Center. So that we may become better acquainted, please complete the following information.

Please rank in order of importance and note how long it has been a problem (i.e., diarrhea x 1 month).
If you are a new client, please also supply a copy of your pet’s records before the appointment.
Please supply a copy of your pet’s records if these illnesses were treated at a different veterinary facility.