Question 1

Cat / Dog New Patient Form

Accepted Answer

const phoneObjects194 = [];

Owner Information

Owner First Name              *

Owner Last Name              *

Secondary Owner / Authorized Agent Name

Email              *

Primary Phone              *

Primary Phone Type          *

Cell Phone
                                                  Home Phone
                                                  Work Phone

Secondary Phone (if applicable)

Secondary Phone Type

Cell Phone
                                                  Home Phone
                                                  Work Phone

Address              *

City              *

Province              *

Postal Code              *

How did you hear about us?          *

Primary Care Veterinarian

Internet

Friend / Family

Community Event

Signage

Printed Publication

Radio

Other

Emergency Contact

Primary Emergency Contact Name              *

Primary Emergency Contact Phone              *

Secondary Emergency Contact Name

Secondary Emergency Contact Phone

Do you authorize your emergency contact(s) to make urgent treatment decisions if you are unreachable?           *

Yes

No

Do you authorize your emergency contact(s) to receive patient information in addition to your primary care veterinarians?           *

Yes

No

Patient Information

Pet Name              *

Birth Date / Age              *

Species          *

Dog
                                                  Cat
                                                  Other (Please specify below)

Breed / Other Species

Colour

Vaccination Status          *

Current
                                                  Past Due
                                                  Unsure

Gender          *

Male
                                                  Female

Spayed or Neutered?          *

Spayed (Females)
                                                  Neutered (Males)
                                                  No
                                                  Unsure

Presenting problem, special needs, concerns              *

By submitting this form, I hereby authorize Stoney Trail Veterinary Clinic to render medical care for my pet(s) as deemed necessary by the veterinarian. I understand that no guarantee can be given to the outcome of treatments and take it as my responsibility to comprehend any risks involved. I agree to pay for the cost of all services to which I consent to by written or verbal estimate. I understand that a deposit is required before diagnostics and treatments can be initiated and that payment in full is required prior to discharge of patient from Stoney Trail Veterinary Clinic.

Spam Blocker

jQuery().ready(function() {
  startUpload = function(generateRand2) {
  window.globalVar2 = generateRand2;
    document.getElementById('f1_upload_form-'+globalVar2).style.visibility = 'hidden';
     return true;
  }

stopUpload = function(response) {
    if (response.success == true) {
      if (response.file_names) {
        jQuery.each(response.file_names, function(index, element) {
          jQuery("#ifg-formfield-"+globalVar+"-" + index).val(element);
        });
      }
      ajaxSubmit();
    } else {
      jQuery(".event-err").remove();
      jQuery.each(response.err, function(index, element) {
        jQuery("#ifg-formfield-"+globalVar+"-" + element.fileindex).after(element.err);
      });
      jQuery("#f1_upload_process-"+globalVar).hide();
      jQuery(".event-submit-btn-"+globalVar).show();
    }

return true;
  }

jQuery("#ifgForm-194").validate({

rules: {
     "ifg-formfield-194-63":"required","ifg-formfield-194-0":"required","ifg-formfield-194-3":{required: true, email: true},"ifg-formfield-194-2":"required","ifg-formfield-194-77":"required","ifg-formfield-194-9":"required","ifg-formfield-194-10":"required","ifg-formfield-194-11":"required","ifg-formfield-194-12":"required","ifg-formfield-194-62":"required","ifg-formfield-194-64":"required","ifg-formfield-194-65":"required","ifg-formfield-194-75":"required","ifg-formfield-194-76":"required","ifg-formfield-194-15":"required","ifg-formfield-194-19":"required","ifg-formfield-194-18":"required","ifg-formfield-194-21":"required","ifg-formfield-194-20":"required","ifg-formfield-194-55":"required","ifg-formfield-194-56":"required","captchaSolution":"required"
    },
    messages: {
      "ifg-formfield-194-63": "This field is required.","ifg-formfield-194-0": "This field is required.","ifg-formfield-194-3": "Provide a valid email address.","ifg-formfield-194-2": "This field is required.","ifg-formfield-194-77": "Please select from a menu item below.","ifg-formfield-194-9": "This field is required.","ifg-formfield-194-10": "This field is required.","ifg-formfield-194-11": "This field is required.","ifg-formfield-194-12": "This field is required.","ifg-formfield-194-62": "Please select one or more options above.","ifg-formfield-194-64": "This field is required.","ifg-formfield-194-65": "This field is required.","ifg-formfield-194-75": "Please select an option above.","ifg-formfield-194-76": "Please select an option above.","ifg-formfield-194-15": "This field is required.","ifg-formfield-194-19": "This field is required.","ifg-formfield-194-18": "Please select from a menu item below.","ifg-formfield-194-21": "Please select from a menu item below.","ifg-formfield-194-20": "Please select from a menu item below.","ifg-formfield-194-55": "Please select from a menu item below.","ifg-formfield-194-56": "This field is required.","captchaSolution": "This field is required"
    },
    errorElement: 'span',
    errorPlacement: function (error, element) {
      error.insertAfter(element.closest('.col-md-10'));
    },
    errorClass: 'help-block',
    focusInvalid: true,
    ignore: "",
    invalidHandler: function (event, validator) {
      // Nix?
    },
    highlight: function (element) {
      var form_id = jQuery(element).closest('form').attr('id');
      var splitFormID = form_id.split("-");
      var getFormID = splitFormID[1];
      jQuery(element).closest('.form-group').addClass('has-error');
      jQuery(element).closest('.form-group').find('.help-block').addClass('help-block-bg');
      jQuery("#f1_upload_process-"+getFormID).hide();
      jQuery(".event-submit-btn-"+getFormID).show();
    },
    unhighlight: function (element) {
      jQuery(element).closest('.form-group').removeClass('has-error');
      jQuery(element).closest('.form-group').find('.help-block').removeClass('help-block-bg');
    },
    success: function (label) {
      label.closest('.form-group').removeClass('has-error');
    },

submitHandler: function(form) {
      var has_selected_file;
      //jQuery('input[type=file]').filter(function() {
      jQuery('#upload_form-194').filter(function() {
        has_selected_file = true;
      }).length  > 0 ;
      if (has_selected_file) {
        jQuery("#upload_form-194").submit();
      } else{
        ajaxSubmit();
      }
    }
  });

submitClicked = function(generateRand) {
    window.globalVar = generateRand;
    jQuery("#f1_upload_process-"+globalVar).show();
    jQuery("#f1_upload_process-"+globalVar+ " img").css({
      'border': '1px dotted rgb(204, 204, 204)',
      'border-radius': '17px',
      'background-color': '#ccc'
    });
    jQuery(".event-submit-btn-"+generateRand).hide();
    jQuery(".event-err").hide();
    jQuery(".alert").remove();

selectUploadFile = function(generateRand,counter) {
    jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).click();
  }

showFileNameSelected = function(generateRand,counter) {
    jQuery("#ifg-upload-"+generateRand+"-file-"+counter).html(jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).val().split('\').pop());
    jQuery("#ifg-formfield-"+generateRand+"-"+counter).val(jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).val().split('\').pop());
  }

fillPhoneFieldsFull = function() {
    for (const phoneObj of phoneObjects194) {
      document.getElementsByName(phoneObj.phoneFieldFullName)[0].value = phoneObj.intlTelInput.getNumber();
    }
  }

ajaxSubmit = function() {
    fillPhoneFieldsFull();
    var frmData = jQuery("#ifgForm-"+globalVar).serialize();
    jQuery.ajax({
      url: "/cmsi-data/formdata",
      data: frmData,
      type: "POST",
      async: false,
      dataType: "json",

success:function(response) {
        jQuery("#f1_upload_process-"+globalVar).hide();
        jQuery(".event-submit-btn-"+globalVar).show();

if (response.field_success == true) {
          var all_success = response.success;
          var displayAlert = true;
          if (typeof response.success_email != 'undefined' && response.success_email == true) {
            jQuery("#ifg-form-container").prepend(response.success_email_msg);
          } else if (typeof response.success_email != 'undefined' && response.success_email == false) {
            jQuery("#ifg-form-container").prepend(response.err_email_msg);
            all_success = false;
          }

if (typeof response.success_action != 'undefined') {
            if (response.success_action == 'url-redirection' && typeof response.success_msg != 'undefined') {
              if (response.success_target == 'true') {

jQuery("#ifgForm-"+globalVar).css("display","none");
                jQuery(".event-submit-btn-"+globalVar).css("display","none");
                jQuery("#ifgForm-"+globalVar).before("Sent.");
                jQuery('html, body').animate({
                  scrollTop: jQuery(".alert").offset().top
                }, 500);
                window.open(response.success_msg, '_blank');
              } else {
                displayAlert = false;
                window.location.href = response.success_msg;
              }
            } else if (response.success_action == 'custom-msg' && typeof response.success_msg != 'undefined') {
              jQuery("#ifgForm-"+globalVar).before(response.success_msg);
            }
          }

if ( displayAlert ){
            jQuery('html, body').animate({
              scrollTop: jQuery(".alert").offset().top
            }, 500);
          }

jQuery("#ifgForm-"+globalVar).css("display","none");
          jQuery(".event-submit-btn-"+globalVar).css("display","none");
        } else {
          jQuery.each(response.field_err, function (index, element) {
            if ($("#" + element.field_name).closest("form").find("div.show-captcha").length > 0) {
              let recaptchaWidgetId = $("#" + element.field_name).closest("form").find("div.show-captcha").data().recaptchaWidget;
              if (typeof recaptchaWidgetId != 'undefined') {
                grecaptcha.reset(recaptchaWidgetId)
              }
            }
            jQuery("#" + element.field_name).after('' + element.err + '');
          });
        }
      },
      
      error:function(xhr,err){
        jQuery("#f1_upload_process-"+globalVar).hide();
        jQuery(".event-submit-btn-"+globalVar).show();
      }
    });
  }

});

Question 2

Avian Patient Form

Accepted Answer

const phoneObjects650 = [];

Owner Information

Owner First Name:              *

Owner Last Name:              *

Email:              *

Primary Phone:              *

Primary Phone Type          *

Cell Phone
                                                  Home Phone
                                                  Work Phone

Secondary Phone (if applicable)

Secondary Phone Type

Cell Phone
                                                  Home Phone
                                                  Work Phone

Patient Information

Patient Name:              *

Species:              *

Color(s):              *

Gender of Bird:           *

Male

Female

Unknown

Date of Birth / Hatch or Age:              *

How long have you owned the bird?              *

Source (pet store, breeder, previous owner?)              *

Purpose (breeding, pet, etc.):              *

Environment

What type of enclosure is used?              *

What are the dimensions?              *

Where is the enclosure located in the house?              *

What substrate is used in the enclosure?              *

How often is it changed?              *

How often is the enclosure cleaned?              *

What products do you use to clean the enclosure?              *

What perches / toys / accessories are in the enclosure?              *

Are there any other birds in the enclosure?              *

Are there any other pets in the house?              *

Are there any new animals in the house in the last 6 months?              *

Is the enclosure with your bird ever exposed to smoke (from any source), scents like from candles / other or teflon / cooking fumes?              *

Are there any heaters / fans or humidifiers by the enclosure?              *

How much time does your bird spend out of the cage?              *

Where does your bird spend time out of the cage?              *

Does your pet go outside?              *

Do you use any UV lighting around the enclosure?              *

Diet

Please list all foods and the approximate amounts that your pet gets daily, including brand names if applicable:

Seeds:              *

Pellets:              *

Fruits:              *

Vegetables:              *

Other:              *

Any supplements / vitamins? If yes, what kind?              *

Do you provide any grit in the diet / cage?              *

Water

How is water provided?              *

Are any water additives / supplements used?              *

How often is the water changed?              *

How often is the water container cleaned?              *

What is the water container cleaned with?              *

Grooming

Does your bird get regular wing trims, beak trims, or nail trims?              *

Do you bathe your bird? If so, how frequently?              *

Health History

Any previous health problems / medications / behavioral concerns? Please try and give as much detail as possible about when it started, duration of the problem, and any treatments or husbandry changes tried.              *

Any other concerns?

Has your bird ever been tested for Chlamydiophila, Polyomavirus, Psittacine beak and feather, or Avian bornoavirus? If so, what were the results?              *

Has there been any previous blood work or other testing done on your pet including DNA sexing?              *

Has your bird ever laid an egg?              *

If so, how long ago and how frequently do they typically lay?              *

Are the eggs fertile?              *

Characteristics of droppings (formed, diarrhea, blood, increased urine / urate):              *

Spam Blocker

jQuery().ready(function() {
  startUpload = function(generateRand2) {
  window.globalVar2 = generateRand2;
    document.getElementById('f1_upload_form-'+globalVar2).style.visibility = 'hidden';
     return true;
  }

stopUpload = function(response) {
    if (response.success == true) {
      if (response.file_names) {
        jQuery.each(response.file_names, function(index, element) {
          jQuery("#ifg-formfield-"+globalVar+"-" + index).val(element);
        });
      }
      ajaxSubmit();
    } else {
      jQuery(".event-err").remove();
      jQuery.each(response.err, function(index, element) {
        jQuery("#ifg-formfield-"+globalVar+"-" + element.fileindex).after(element.err);
      });
      jQuery("#f1_upload_process-"+globalVar).hide();
      jQuery(".event-submit-btn-"+globalVar).show();
    }

return true;
  }

jQuery("#ifgForm-650").validate({

rules: {
     "ifg-formfield-650-69":"required","ifg-formfield-650-71":"required","ifg-formfield-650-68":"required","ifg-formfield-650-0":"required","ifg-formfield-650-73":"required","ifg-formfield-650-1":"required","ifg-formfield-650-2":"required","ifg-formfield-650-3":"required","ifg-formfield-650-60":"required","ifg-formfield-650-5":"required","ifg-formfield-650-6":"required","ifg-formfield-650-7":"required","ifg-formfield-650-8":"required","ifg-formfield-650-9":"required","ifg-formfield-650-11":"required","ifg-formfield-650-12":"required","ifg-formfield-650-13":"required","ifg-formfield-650-14":"required","ifg-formfield-650-15":"required","ifg-formfield-650-16":"required","ifg-formfield-650-17":"required","ifg-formfield-650-18":"required","ifg-formfield-650-19":"required","ifg-formfield-650-20":"required","ifg-formfield-650-21":"required","ifg-formfield-650-22":"required","ifg-formfield-650-23":"required","ifg-formfield-650-24":"required","ifg-formfield-650-25":"required","ifg-formfield-650-26":"required","ifg-formfield-650-27":"required","ifg-formfield-650-30":"required","ifg-formfield-650-31":"required","ifg-formfield-650-32":"required","ifg-formfield-650-33":"required","ifg-formfield-650-37":"required","ifg-formfield-650-38":"required","ifg-formfield-650-40":"required","ifg-formfield-650-41":"required","ifg-formfield-650-42":"required","ifg-formfield-650-43":"required","ifg-formfield-650-44":"required","ifg-formfield-650-46":"required","ifg-formfield-650-47":"required","ifg-formfield-650-50":"required","ifg-formfield-650-52":"required","ifg-formfield-650-53":"required","ifg-formfield-650-54":"required","ifg-formfield-650-55":"required","ifg-formfield-650-56":"required","ifg-formfield-650-58":"required","captchaSolution":"required"
    },
    messages: {
      "ifg-formfield-650-69": "This field is required.","ifg-formfield-650-71": "This field is required.","ifg-formfield-650-68": "This field is required.","ifg-formfield-650-0": "This field is required.","ifg-formfield-650-73": "Please select from a menu item below.","ifg-formfield-650-1": "This field is required.","ifg-formfield-650-2": "This field is required.","ifg-formfield-650-3": "This field is required.","ifg-formfield-650-60": "Please select an option above.","ifg-formfield-650-5": "This field is required.","ifg-formfield-650-6": "This field is required.","ifg-formfield-650-7": "This field is required.","ifg-formfield-650-8": "This field is required.","ifg-formfield-650-9": "This field is required.","ifg-formfield-650-11": "This field is required.","ifg-formfield-650-12": "This field is required.","ifg-formfield-650-13": "This field is required.","ifg-formfield-650-14": "This field is required.","ifg-formfield-650-15": "This field is required.","ifg-formfield-650-16": "This field is required.","ifg-formfield-650-17": "This field is required.","ifg-formfield-650-18": "This field is required.","ifg-formfield-650-19": "This field is required.","ifg-formfield-650-20": "This field is required.","ifg-formfield-650-21": "This field is required.","ifg-formfield-650-22": "This field is required.","ifg-formfield-650-23": "This field is required.","ifg-formfield-650-24": "This field is required.","ifg-formfield-650-25": "This field is required.","ifg-formfield-650-26": "This field is required.","ifg-formfield-650-27": "This field is required.","ifg-formfield-650-30": "This field is required.","ifg-formfield-650-31": "This field is required.","ifg-formfield-650-32": "This field is required.","ifg-formfield-650-33": "This field is required.","ifg-formfield-650-37": "This field is required.","ifg-formfield-650-38": "This field is required.","ifg-formfield-650-40": "This field is required.","ifg-formfield-650-41": "This field is required.","ifg-formfield-650-42": "This field is required.","ifg-formfield-650-43": "This field is required.","ifg-formfield-650-44": "This field is required.","ifg-formfield-650-46": "This field is required.","ifg-formfield-650-47": "This field is required.","ifg-formfield-650-50": "This field is required.","ifg-formfield-650-52": "This field is required.","ifg-formfield-650-53": "This field is required.","ifg-formfield-650-54": "This field is required.","ifg-formfield-650-55": "This field is required.","ifg-formfield-650-56": "This field is required.","ifg-formfield-650-58": "This field is required.","captchaSolution": "This field is required"
    },
    errorElement: 'span',
    errorPlacement: function (error, element) {
      error.insertAfter(element.closest('.col-md-10'));
    },
    errorClass: 'help-block',
    focusInvalid: true,
    ignore: "",
    invalidHandler: function (event, validator) {
      // Nix?
    },
    highlight: function (element) {
      var form_id = jQuery(element).closest('form').attr('id');
      var splitFormID = form_id.split("-");
      var getFormID = splitFormID[1];
      jQuery(element).closest('.form-group').addClass('has-error');
      jQuery(element).closest('.form-group').find('.help-block').addClass('help-block-bg');
      jQuery("#f1_upload_process-"+getFormID).hide();
      jQuery(".event-submit-btn-"+getFormID).show();
    },
    unhighlight: function (element) {
      jQuery(element).closest('.form-group').removeClass('has-error');
      jQuery(element).closest('.form-group').find('.help-block').removeClass('help-block-bg');
    },
    success: function (label) {
      label.closest('.form-group').removeClass('has-error');
    },

submitHandler: function(form) {
      var has_selected_file;
      //jQuery('input[type=file]').filter(function() {
      jQuery('#upload_form-650').filter(function() {
        has_selected_file = true;
      }).length  > 0 ;
      if (has_selected_file) {
        jQuery("#upload_form-650").submit();
      } else{
        ajaxSubmit();
      }
    }
  });

submitClicked = function(generateRand) {
    window.globalVar = generateRand;
    jQuery("#f1_upload_process-"+globalVar).show();
    jQuery("#f1_upload_process-"+globalVar+ " img").css({
      'border': '1px dotted rgb(204, 204, 204)',
      'border-radius': '17px',
      'background-color': '#ccc'
    });
    jQuery(".event-submit-btn-"+generateRand).hide();
    jQuery(".event-err").hide();
    jQuery(".alert").remove();

selectUploadFile = function(generateRand,counter) {
    jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).click();
  }

showFileNameSelected = function(generateRand,counter) {
    jQuery("#ifg-upload-"+generateRand+"-file-"+counter).html(jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).val().split('\').pop());
    jQuery("#ifg-formfield-"+generateRand+"-"+counter).val(jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).val().split('\').pop());
  }

fillPhoneFieldsFull = function() {
    for (const phoneObj of phoneObjects650) {
      document.getElementsByName(phoneObj.phoneFieldFullName)[0].value = phoneObj.intlTelInput.getNumber();
    }
  }

ajaxSubmit = function() {
    fillPhoneFieldsFull();
    var frmData = jQuery("#ifgForm-"+globalVar).serialize();
    jQuery.ajax({
      url: "/cmsi-data/formdata",
      data: frmData,
      type: "POST",
      async: false,
      dataType: "json",

success:function(response) {
        jQuery("#f1_upload_process-"+globalVar).hide();
        jQuery(".event-submit-btn-"+globalVar).show();

if (response.field_success == true) {
          var all_success = response.success;
          var displayAlert = true;
          if (typeof response.success_email != 'undefined' && response.success_email == true) {
            jQuery("#ifg-form-container").prepend(response.success_email_msg);
          } else if (typeof response.success_email != 'undefined' && response.success_email == false) {
            jQuery("#ifg-form-container").prepend(response.err_email_msg);
            all_success = false;
          }

if (typeof response.success_action != 'undefined') {
            if (response.success_action == 'url-redirection' && typeof response.success_msg != 'undefined') {
              if (response.success_target == 'true') {

jQuery("#ifgForm-"+globalVar).css("display","none");
                jQuery(".event-submit-btn-"+globalVar).css("display","none");
                jQuery("#ifgForm-"+globalVar).before("Sent.");
                jQuery('html, body').animate({
                  scrollTop: jQuery(".alert").offset().top
                }, 500);
                window.open(response.success_msg, '_blank');
              } else {
                displayAlert = false;
                window.location.href = response.success_msg;
              }
            } else if (response.success_action == 'custom-msg' && typeof response.success_msg != 'undefined') {
              jQuery("#ifgForm-"+globalVar).before(response.success_msg);
            }
          }

if ( displayAlert ){
            jQuery('html, body').animate({
              scrollTop: jQuery(".alert").offset().top
            }, 500);
          }

jQuery("#ifgForm-"+globalVar).css("display","none");
          jQuery(".event-submit-btn-"+globalVar).css("display","none");
        } else {
          jQuery.each(response.field_err, function (index, element) {
            if ($("#" + element.field_name).closest("form").find("div.show-captcha").length > 0) {
              let recaptchaWidgetId = $("#" + element.field_name).closest("form").find("div.show-captcha").data().recaptchaWidget;
              if (typeof recaptchaWidgetId != 'undefined') {
                grecaptcha.reset(recaptchaWidgetId)
              }
            }
            jQuery("#" + element.field_name).after('' + element.err + '');
          });
        }
      },
      
      error:function(xhr,err){
        jQuery("#f1_upload_process-"+globalVar).hide();
        jQuery(".event-submit-btn-"+globalVar).show();
      }
    });
  }

});

Question 3

Exotic Mammal Patient Form

Accepted Answer

const phoneObjects996 = [];

Owner Information

Owner First Name:              *

Owner Last Name:              *

Email:              *

Primary Phone:              *

Primary Phone Type          *

Cell Phone
                                                  Home Phone
                                                  Work Phone

Secondary Phone (if applicable)

Secondary Phone Type

Cell Phone
                                                  Home Phone
                                                  Work Phone

Patient Information

Patient Name:              *

Species:              *

Color(s):              *

Gender of Animal:           *

Male

Female

Unknown

Date of Birth or Age:              *

How long have you owned your pet?              *

Source (pet store, breeder, previous owner?):              *

Environment

What type of enclosure is used?              *

What are the dimensions?              *

Where is the enclosure located in the house?              *

What substrate is used in the enclosure?              *

How often is the substrate changed?              *

How often is the enclosure cleaned?              *

What products do you use to clean the enclosure?              *

What toys / hides / accessories are in the enclosure?              *

Are there any other pets in the enclosure?              *

Are there any other pets in the house?              *

Are there any new animals in the house within the last 6 months?              *

How much time does your pet spend out of their cage?              *

Where does your pet spend time out of their cage?              *

Does your pet go outside?              *

Diet

Please list all foods and the approximate amounts that your pet gets daily, including brands if applicable.

Hay:              *

Pellets:              *

Fruits:              *

Vegetables:              *

Other:              *

Any supplements / vitamins? If yes, what kind?              *

Water

How is water provided?              *

Are any water additives / supplements used?              *

How often is the water changed?              *

How often is the water container cleaned?              *

What is the water container cleaned with?              *

Grooming

Does your pet get any regular grooming (like nail trims)?              *

Do you bathe your pet? If so, how do you bathe them and how frequently?              *

Health History

Any previous health problems / medications / behavioral concerns? Please try and give as much detail as possible about when it started, the duration of the problem, and any treatments or husbandry changes tried.              *

Any other concerns?

Has there been any previous blood work or other testing done on your pet?              *

Vaccinations (ferrets only)

When was the last date of vaccinations?

What were the vaccinations for?

Spam Blocker

jQuery().ready(function() {
  startUpload = function(generateRand2) {
  window.globalVar2 = generateRand2;
    document.getElementById('f1_upload_form-'+globalVar2).style.visibility = 'hidden';
     return true;
  }

stopUpload = function(response) {
    if (response.success == true) {
      if (response.file_names) {
        jQuery.each(response.file_names, function(index, element) {
          jQuery("#ifg-formfield-"+globalVar+"-" + index).val(element);
        });
      }
      ajaxSubmit();
    } else {
      jQuery(".event-err").remove();
      jQuery.each(response.err, function(index, element) {
        jQuery("#ifg-formfield-"+globalVar+"-" + element.fileindex).after(element.err);
      });
      jQuery("#f1_upload_process-"+globalVar).hide();
      jQuery(".event-submit-btn-"+globalVar).show();
    }

return true;
  }

jQuery("#ifgForm-996").validate({

rules: {
     "ifg-formfield-996-53":"required","ifg-formfield-996-54":"required","ifg-formfield-996-52":"required","ifg-formfield-996-51":"required","ifg-formfield-996-56":"required","ifg-formfield-996-1":"required","ifg-formfield-996-2":"required","ifg-formfield-996-3":"required","ifg-formfield-996-4":"required","ifg-formfield-996-49":"required","ifg-formfield-996-5":"required","ifg-formfield-996-6":"required","ifg-formfield-996-9":"required","ifg-formfield-996-10":"required","ifg-formfield-996-11":"required","ifg-formfield-996-12":"required","ifg-formfield-996-13":"required","ifg-formfield-996-14":"required","ifg-formfield-996-15":"required","ifg-formfield-996-16":"required","ifg-formfield-996-17":"required","ifg-formfield-996-18":"required","ifg-formfield-996-19":"required","ifg-formfield-996-20":"required","ifg-formfield-996-21":"required","ifg-formfield-996-22":"required","ifg-formfield-996-26":"required","ifg-formfield-996-27":"required","ifg-formfield-996-28":"required","ifg-formfield-996-29":"required","ifg-formfield-996-30":"required","ifg-formfield-996-31":"required","ifg-formfield-996-33":"required","ifg-formfield-996-34":"required","ifg-formfield-996-35":"required","ifg-formfield-996-36":"required","ifg-formfield-996-37":"required","ifg-formfield-996-39":"required","ifg-formfield-996-40":"required","ifg-formfield-996-42":"required","ifg-formfield-996-44":"required","captchaSolution":"required"
    },
    messages: {
      "ifg-formfield-996-53": "This field is required.","ifg-formfield-996-54": "This field is required.","ifg-formfield-996-52": "This field is required.","ifg-formfield-996-51": "This field is required.","ifg-formfield-996-56": "Please select from a menu item below.","ifg-formfield-996-1": "This field is required.","ifg-formfield-996-2": "This field is required.","ifg-formfield-996-3": "This field is required.","ifg-formfield-996-4": "Please select an option above.","ifg-formfield-996-49": "This field is required.","ifg-formfield-996-5": "This field is required.","ifg-formfield-996-6": "This field is required.","ifg-formfield-996-9": "This field is required.","ifg-formfield-996-10": "This field is required.","ifg-formfield-996-11": "This field is required.","ifg-formfield-996-12": "This field is required.","ifg-formfield-996-13": "This field is required.","ifg-formfield-996-14": "This field is required.","ifg-formfield-996-15": "This field is required.","ifg-formfield-996-16": "This field is required.","ifg-formfield-996-17": "This field is required.","ifg-formfield-996-18": "This field is required.","ifg-formfield-996-19": "This field is required.","ifg-formfield-996-20": "This field is required.","ifg-formfield-996-21": "This field is required.","ifg-formfield-996-22": "This field is required.","ifg-formfield-996-26": "This field is required.","ifg-formfield-996-27": "This field is required.","ifg-formfield-996-28": "This field is required.","ifg-formfield-996-29": "This field is required.","ifg-formfield-996-30": "This field is required.","ifg-formfield-996-31": "This field is required.","ifg-formfield-996-33": "This field is required.","ifg-formfield-996-34": "This field is required.","ifg-formfield-996-35": "This field is required.","ifg-formfield-996-36": "This field is required.","ifg-formfield-996-37": "This field is required.","ifg-formfield-996-39": "This field is required.","ifg-formfield-996-40": "This field is required.","ifg-formfield-996-42": "This field is required.","ifg-formfield-996-44": "This field is required.","captchaSolution": "This field is required"
    },
    errorElement: 'span',
    errorPlacement: function (error, element) {
      error.insertAfter(element.closest('.col-md-10'));
    },
    errorClass: 'help-block',
    focusInvalid: true,
    ignore: "",
    invalidHandler: function (event, validator) {
      // Nix?
    },
    highlight: function (element) {
      var form_id = jQuery(element).closest('form').attr('id');
      var splitFormID = form_id.split("-");
      var getFormID = splitFormID[1];
      jQuery(element).closest('.form-group').addClass('has-error');
      jQuery(element).closest('.form-group').find('.help-block').addClass('help-block-bg');
      jQuery("#f1_upload_process-"+getFormID).hide();
      jQuery(".event-submit-btn-"+getFormID).show();
    },
    unhighlight: function (element) {
      jQuery(element).closest('.form-group').removeClass('has-error');
      jQuery(element).closest('.form-group').find('.help-block').removeClass('help-block-bg');
    },
    success: function (label) {
      label.closest('.form-group').removeClass('has-error');
    },

submitHandler: function(form) {
      var has_selected_file;
      //jQuery('input[type=file]').filter(function() {
      jQuery('#upload_form-996').filter(function() {
        has_selected_file = true;
      }).length  > 0 ;
      if (has_selected_file) {
        jQuery("#upload_form-996").submit();
      } else{
        ajaxSubmit();
      }
    }
  });

submitClicked = function(generateRand) {
    window.globalVar = generateRand;
    jQuery("#f1_upload_process-"+globalVar).show();
    jQuery("#f1_upload_process-"+globalVar+ " img").css({
      'border': '1px dotted rgb(204, 204, 204)',
      'border-radius': '17px',
      'background-color': '#ccc'
    });
    jQuery(".event-submit-btn-"+generateRand).hide();
    jQuery(".event-err").hide();
    jQuery(".alert").remove();

selectUploadFile = function(generateRand,counter) {
    jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).click();
  }

showFileNameSelected = function(generateRand,counter) {
    jQuery("#ifg-upload-"+generateRand+"-file-"+counter).html(jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).val().split('\').pop());
    jQuery("#ifg-formfield-"+generateRand+"-"+counter).val(jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).val().split('\').pop());
  }

fillPhoneFieldsFull = function() {
    for (const phoneObj of phoneObjects996) {
      document.getElementsByName(phoneObj.phoneFieldFullName)[0].value = phoneObj.intlTelInput.getNumber();
    }
  }

ajaxSubmit = function() {
    fillPhoneFieldsFull();
    var frmData = jQuery("#ifgForm-"+globalVar).serialize();
    jQuery.ajax({
      url: "/cmsi-data/formdata",
      data: frmData,
      type: "POST",
      async: false,
      dataType: "json",

success:function(response) {
        jQuery("#f1_upload_process-"+globalVar).hide();
        jQuery(".event-submit-btn-"+globalVar).show();

if (response.field_success == true) {
          var all_success = response.success;
          var displayAlert = true;
          if (typeof response.success_email != 'undefined' && response.success_email == true) {
            jQuery("#ifg-form-container").prepend(response.success_email_msg);
          } else if (typeof response.success_email != 'undefined' && response.success_email == false) {
            jQuery("#ifg-form-container").prepend(response.err_email_msg);
            all_success = false;
          }

if (typeof response.success_action != 'undefined') {
            if (response.success_action == 'url-redirection' && typeof response.success_msg != 'undefined') {
              if (response.success_target == 'true') {

jQuery("#ifgForm-"+globalVar).css("display","none");
                jQuery(".event-submit-btn-"+globalVar).css("display","none");
                jQuery("#ifgForm-"+globalVar).before("Sent.");
                jQuery('html, body').animate({
                  scrollTop: jQuery(".alert").offset().top
                }, 500);
                window.open(response.success_msg, '_blank');
              } else {
                displayAlert = false;
                window.location.href = response.success_msg;
              }
            } else if (response.success_action == 'custom-msg' && typeof response.success_msg != 'undefined') {
              jQuery("#ifgForm-"+globalVar).before(response.success_msg);
            }
          }

if ( displayAlert ){
            jQuery('html, body').animate({
              scrollTop: jQuery(".alert").offset().top
            }, 500);
          }

jQuery("#ifgForm-"+globalVar).css("display","none");
          jQuery(".event-submit-btn-"+globalVar).css("display","none");
        } else {
          jQuery.each(response.field_err, function (index, element) {
            if ($("#" + element.field_name).closest("form").find("div.show-captcha").length > 0) {
              let recaptchaWidgetId = $("#" + element.field_name).closest("form").find("div.show-captcha").data().recaptchaWidget;
              if (typeof recaptchaWidgetId != 'undefined') {
                grecaptcha.reset(recaptchaWidgetId)
              }
            }
            jQuery("#" + element.field_name).after('' + element.err + '');
          });
        }
      },
      
      error:function(xhr,err){
        jQuery("#f1_upload_process-"+globalVar).hide();
        jQuery(".event-submit-btn-"+globalVar).show();
      }
    });
  }

});

Question 4

Reptile Patient Form

Accepted Answer

const phoneObjects518 = [];

Owner Information

Owner First Name:              *

Owner Last Name:              *

Email:              *

Primary Phone:              *

Primary Phone Type          *

Cell Phone
                                                  Home Phone
                                                  Work Phone

Secondary Phone (if applicable)

Secondary Phone Type

Cell Phone
                                                  Home Phone
                                                  Work Phone

Patient Information

Patient Name:              *

Species:              *

Color(s):              *

Gender of Reptile:           *

Male

Female

Unknown

Date of Birth / Hatch or Age:              *

How long have you owned the reptile?              *

Source (pet store, breeder, previous owner?):              *

Purpose (breeding, pet, etc.):              *

Environment

What type of enclosure is used?              *

What are the dimensions?              *

What substrate is used in the enclosure? (sand, astroturf, paper towel, etc.)              *

How often is the substrate changed?              *

How often is the enclosure cleaned?              *

What products do you use to clean the enclosure?              *

What plants / hides / accessories are in the enclosure?              *

Are there any other animals in the enclosure?              *

Are there any other animals in the house?              *

Are there any new animals in the house within the last 6 months?              *

How much time does your reptile spend out of their cage?              *

Where does your reptile spend time out of their cage?              *

Does your reptile go outside?              *

Heating

What is used to heat the enclosure?

If you use heat lamps, what type do you use and how many hours are the on?              *

If you use heating pads, where are the located in the enclosure and how many hours are they on?              *

Other heating methods:

Thermometers

How many do you use?              *

What type of thermometer do you use?              *

Where are they in the enclosure?              *

Tank temperatures during the day:              *

Tank temperatures during the night:              *

UV Lighting

Position of UV lighting (direction and distance from animal or bottom of the enclosure):              *

How often are the UV bulbs changed?              *

When was the bulb last changed?              *

Does your animal get any exposure to sunlight? If so, please describe:              *

Diet

Please list all of the foods and the approximate amounts that your pet gets and how often.

Rodents (mice/rats/other):              *

Insects:              *

Fruits:              *

Vegetables:              *

Other:

Any supplements / vitamins? If yes, what kind?              *

For carnivores:

Live prey

Dead prey

Both

For live prey, do you gut load?

Yes

No

What is gut loading?

Is live prey left in the enclosure unsupervised?

Water/Humidity

How is water provided?              *

Are any water additives / supplements used?              *

How often is the water changed?              *

How often is the water container cleaned?              *

What is the water container cleaned with?              *

How often is the enclosure misted?              *

Do you have a hygrometer? If so, what is the humidity level?              *

Shedding

How often does your reptile typically shed and is it normally complete or are there concerns?              *

When was the last shed?              *

Was it complete?              *

Health History

Any previous health problems / medications / behavioral concerns? Please try and give as much detail as possible about when it started, the duration of the problem, and any treatments or husbandry changes tried.              *

Any other concerns?

Has there been any previous blood work or other testing done on your pet?              *

Has your reptile ever laid an egg or do they have a history of live birthing (depending on the species)?              *

If so, how long ago and how frequently do they typically lay/birth?

Are eggs / young fertile / viable?

Characteristics of droppings (formed, diarrhea, blood, increased urine / urate):              *

Spam Blocker

jQuery().ready(function() {
  startUpload = function(generateRand2) {
  window.globalVar2 = generateRand2;
    document.getElementById('f1_upload_form-'+globalVar2).style.visibility = 'hidden';
     return true;
  }

stopUpload = function(response) {
    if (response.success == true) {
      if (response.file_names) {
        jQuery.each(response.file_names, function(index, element) {
          jQuery("#ifg-formfield-"+globalVar+"-" + index).val(element);
        });
      }
      ajaxSubmit();
    } else {
      jQuery(".event-err").remove();
      jQuery.each(response.err, function(index, element) {
        jQuery("#ifg-formfield-"+globalVar+"-" + element.fileindex).after(element.err);
      });
      jQuery("#f1_upload_process-"+globalVar).hide();
      jQuery(".event-submit-btn-"+globalVar).show();
    }

return true;
  }

jQuery("#ifgForm-518").validate({

rules: {
     "ifg-formfield-518-64":"required","ifg-formfield-518-62":"required","ifg-formfield-518-63":"required","ifg-formfield-518-65":"required","ifg-formfield-518-77":"required","ifg-formfield-518-2":"required","ifg-formfield-518-3":"required","ifg-formfield-518-4":"required","ifg-formfield-518-10":"required","ifg-formfield-518-6":"required","ifg-formfield-518-7":"required","ifg-formfield-518-8":"required","ifg-formfield-518-9":"required","ifg-formfield-518-12":"required","ifg-formfield-518-13":"required","ifg-formfield-518-14":"required","ifg-formfield-518-15":"required","ifg-formfield-518-16":"required","ifg-formfield-518-17":"required","ifg-formfield-518-18":"required","ifg-formfield-518-19":"required","ifg-formfield-518-20":"required","ifg-formfield-518-21":"required","ifg-formfield-518-22":"required","ifg-formfield-518-23":"required","ifg-formfield-518-24":"required","ifg-formfield-518-28":"required","ifg-formfield-518-29":"required","ifg-formfield-518-31":"required","ifg-formfield-518-32":"required","ifg-formfield-518-33":"required","ifg-formfield-518-35":"required","ifg-formfield-518-36":"required","ifg-formfield-518-38":"required","ifg-formfield-518-39":"required","ifg-formfield-518-40":"required","ifg-formfield-518-41":"required","ifg-formfield-518-44":"required","ifg-formfield-518-45":"required","ifg-formfield-518-46":"required","ifg-formfield-518-47":"required","ifg-formfield-518-49":"required","ifg-formfield-518-54":"required","ifg-formfield-518-55":"required","ifg-formfield-518-56":"required","ifg-formfield-518-57":"required","ifg-formfield-518-58":"required","ifg-formfield-518-59":"required","ifg-formfield-518-60":"required","ifg-formfield-518-64":"required","ifg-formfield-518-62":"required","ifg-formfield-518-67":"required","ifg-formfield-518-70":"required","ifg-formfield-518-72":"required","ifg-formfield-518-73":"required","ifg-formfield-518-75":"required","captchaSolution":"required"
    },
    messages: {
      "ifg-formfield-518-64": "This field is required.","ifg-formfield-518-62": "This field is required.","ifg-formfield-518-63": "This field is required.","ifg-formfield-518-65": "This field is required.","ifg-formfield-518-77": "Please select from a menu item below.","ifg-formfield-518-2": "This field is required.","ifg-formfield-518-3": "This field is required.","ifg-formfield-518-4": "This field is required.","ifg-formfield-518-10": "Please select an option above.","ifg-formfield-518-6": "This field is required.","ifg-formfield-518-7": "This field is required.","ifg-formfield-518-8": "This field is required.","ifg-formfield-518-9": "This field is required.","ifg-formfield-518-12": "This field is required.","ifg-formfield-518-13": "This field is required.","ifg-formfield-518-14": "This field is required.","ifg-formfield-518-15": "This field is required.","ifg-formfield-518-16": "This field is required.","ifg-formfield-518-17": "This field is required.","ifg-formfield-518-18": "This field is required.","ifg-formfield-518-19": "This field is required.","ifg-formfield-518-20": "This field is required.","ifg-formfield-518-21": "This field is required.","ifg-formfield-518-22": "This field is required.","ifg-formfield-518-23": "This field is required.","ifg-formfield-518-24": "This field is required.","ifg-formfield-518-28": "This field is required.","ifg-formfield-518-29": "This field is required.","ifg-formfield-518-31": "This field is required.","ifg-formfield-518-32": "This field is required.","ifg-formfield-518-33": "This field is required.","ifg-formfield-518-35": "This field is required.","ifg-formfield-518-36": "This field is required.","ifg-formfield-518-38": "This field is required.","ifg-formfield-518-39": "This field is required.","ifg-formfield-518-40": "This field is required.","ifg-formfield-518-41": "This field is required.","ifg-formfield-518-44": "This field is required.","ifg-formfield-518-45": "This field is required.","ifg-formfield-518-46": "This field is required.","ifg-formfield-518-47": "This field is required.","ifg-formfield-518-49": "This field is required.","ifg-formfield-518-54": "This field is required.","ifg-formfield-518-55": "This field is required.","ifg-formfield-518-56": "This field is required.","ifg-formfield-518-57": "This field is required.","ifg-formfield-518-58": "This field is required.","ifg-formfield-518-59": "This field is required.","ifg-formfield-518-60": "This field is required.","ifg-formfield-518-64": "This field is required.","ifg-formfield-518-62": "This field is required.","ifg-formfield-518-67": "This field is required.","ifg-formfield-518-70": "This field is required.","ifg-formfield-518-72": "This field is required.","ifg-formfield-518-73": "This field is required.","ifg-formfield-518-75": "This field is required.","captchaSolution": "This field is required"
    },
    errorElement: 'span',
    errorPlacement: function (error, element) {
      error.insertAfter(element.closest('.col-md-10'));
    },
    errorClass: 'help-block',
    focusInvalid: true,
    ignore: "",
    invalidHandler: function (event, validator) {
      // Nix?
    },
    highlight: function (element) {
      var form_id = jQuery(element).closest('form').attr('id');
      var splitFormID = form_id.split("-");
      var getFormID = splitFormID[1];
      jQuery(element).closest('.form-group').addClass('has-error');
      jQuery(element).closest('.form-group').find('.help-block').addClass('help-block-bg');
      jQuery("#f1_upload_process-"+getFormID).hide();
      jQuery(".event-submit-btn-"+getFormID).show();
    },
    unhighlight: function (element) {
      jQuery(element).closest('.form-group').removeClass('has-error');
      jQuery(element).closest('.form-group').find('.help-block').removeClass('help-block-bg');
    },
    success: function (label) {
      label.closest('.form-group').removeClass('has-error');
    },

submitHandler: function(form) {
      var has_selected_file;
      //jQuery('input[type=file]').filter(function() {
      jQuery('#upload_form-518').filter(function() {
        has_selected_file = true;
      }).length  > 0 ;
      if (has_selected_file) {
        jQuery("#upload_form-518").submit();
      } else{
        ajaxSubmit();
      }
    }
  });

submitClicked = function(generateRand) {
    window.globalVar = generateRand;
    jQuery("#f1_upload_process-"+globalVar).show();
    jQuery("#f1_upload_process-"+globalVar+ " img").css({
      'border': '1px dotted rgb(204, 204, 204)',
      'border-radius': '17px',
      'background-color': '#ccc'
    });
    jQuery(".event-submit-btn-"+generateRand).hide();
    jQuery(".event-err").hide();
    jQuery(".alert").remove();

selectUploadFile = function(generateRand,counter) {
    jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).click();
  }

showFileNameSelected = function(generateRand,counter) {
    jQuery("#ifg-upload-"+generateRand+"-file-"+counter).html(jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).val().split('\').pop());
    jQuery("#ifg-formfield-"+generateRand+"-"+counter).val(jQuery("#ifg-formfield-"+generateRand+"-file-"+counter).val().split('\').pop());
  }

fillPhoneFieldsFull = function() {
    for (const phoneObj of phoneObjects518) {
      document.getElementsByName(phoneObj.phoneFieldFullName)[0].value = phoneObj.intlTelInput.getNumber();
    }
  }

ajaxSubmit = function() {
    fillPhoneFieldsFull();
    var frmData = jQuery("#ifgForm-"+globalVar).serialize();
    jQuery.ajax({
      url: "/cmsi-data/formdata",
      data: frmData,
      type: "POST",
      async: false,
      dataType: "json",

success:function(response) {
        jQuery("#f1_upload_process-"+globalVar).hide();
        jQuery(".event-submit-btn-"+globalVar).show();

if (response.field_success == true) {
          var all_success = response.success;
          var displayAlert = true;
          if (typeof response.success_email != 'undefined' && response.success_email == true) {
            jQuery("#ifg-form-container").prepend(response.success_email_msg);
          } else if (typeof response.success_email != 'undefined' && response.success_email == false) {
            jQuery("#ifg-form-container").prepend(response.err_email_msg);
            all_success = false;
          }

if (typeof response.success_action != 'undefined') {
            if (response.success_action == 'url-redirection' && typeof response.success_msg != 'undefined') {
              if (response.success_target == 'true') {

jQuery("#ifgForm-"+globalVar).css("display","none");
                jQuery(".event-submit-btn-"+globalVar).css("display","none");
                jQuery("#ifgForm-"+globalVar).before("Sent.");
                jQuery('html, body').animate({
                  scrollTop: jQuery(".alert").offset().top
                }, 500);
                window.open(response.success_msg, '_blank');
              } else {
                displayAlert = false;
                window.location.href = response.success_msg;
              }
            } else if (response.success_action == 'custom-msg' && typeof response.success_msg != 'undefined') {
              jQuery("#ifgForm-"+globalVar).before(response.success_msg);
            }
          }

if ( displayAlert ){
            jQuery('html, body').animate({
              scrollTop: jQuery(".alert").offset().top
            }, 500);
          }

jQuery("#ifgForm-"+globalVar).css("display","none");
          jQuery(".event-submit-btn-"+globalVar).css("display","none");
        } else {
          jQuery.each(response.field_err, function (index, element) {
            if ($("#" + element.field_name).closest("form").find("div.show-captcha").length > 0) {
              let recaptchaWidgetId = $("#" + element.field_name).closest("form").find("div.show-captcha").data().recaptchaWidget;
              if (typeof recaptchaWidgetId != 'undefined') {
                grecaptcha.reset(recaptchaWidgetId)
              }
            }
            jQuery("#" + element.field_name).after('' + element.err + '');
          });
        }
      },
      
      error:function(xhr,err){
        jQuery("#f1_upload_process-"+globalVar).hide();
        jQuery(".event-submit-btn-"+globalVar).show();
      }
    });
  }

});

Patient Forms

Option 1

Complete Online

Option 2

Complete on Arrival

New Patient Forms

Owner Information

Emergency Contact

Patient Information

Owner Information

Patient Information

Environment

Diet

Water

Grooming

Health History

Owner Information

Patient Information

Environment

Diet

Water

Grooming

Health History

Vaccinations (ferrets only)

Owner Information

Patient Information

Environment

Heating

Thermometers

UV Lighting

Diet

Water/Humidity

Shedding

Health History

Owner Information

Emergency Contact

Patient Information

Owner Information

Patient Information

Environment

Diet

Water

Grooming

Health History

Owner Information

Patient Information

Environment

Diet

Water

Grooming

Health History

Vaccinations (ferrets only)

Owner Information

Patient Information

Environment

Heating

Thermometers

UV Lighting

Diet

Water/Humidity

Shedding

Health History

New Patients Welcome